Sample Record

Owner Lab

  • CT D03 - Sacramento Structures Construction Sanders Construction Field Laboratory Office

DIME Sample ID 2014-10-10-9

Project Information

Project IdentifiersProject ID: 209175
DEA: 030F2204
EFIS: 0300000072
DIST-CO-RTE-PM03-ED-50-R30.7/R31.7
Award Date02/25/2014
Closeout Date07/30/2015
Work DescriptionREPLACE BRIDGE.
Location DescriptionSLY PARK UNDERCROSSING
QA Service Level1 (Verified on 11/01/2013)

Sample Information

Sample Taken Date10/10/2014 Sample Unique Key9
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeVerification A brief description of the sampledischarge in wheelbarrow
The quantity of what the sample constitutesdischarge in wheelbarrow From where was the sample collectedOther
First name of sampler or witnessed byAlfredo Last name of sampler or witnessed byCarranza
Title of samplerStructure Representative Telephone number of sampler(916) 203-5039
Laboratory sample identificationUnknown Linked DIME Sample ID0
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier25 0042
Structure nameSly Park Rd UC

Material Information

Material TypeConcrete The concrete mix design numberSF850AFST0
The truck number from where the sample was collected2 The batch plant ticket number from where the sample was collected1051152
Concrete batch plant1B The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-10-10-9-1ASTM C231-10: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure MethodAlfredo CarranzaCT D03 - Sacramento Structures Construction Sanders Construction Field Laboratory Office10/10/2014Alfredo Carranza
Yes
10/15/2014

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