Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-02-15-6

Project Information

Project IdentifiersProject ID: 214700
DEA: 030F2804
EFIS: 0312000069
DIST-CO-RTE-PM03-SAC-99-7.1/9.4
Award DateNot set
Closeout DateNot set
Work DescriptionDillard Overcrossing and McConnel Overhead
Location DescriptionHwy 99, Elk Grove, CA
QA Service Level1 (Verified on 04/20/2020)

Sample Information

Sample Taken Date02/15/2022 Sample Unique Key6
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing02/16/2022
Sample typeQuality Assurance A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes3 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byP Last name of sampler or witnessed byTran
Title of samplerASR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Yaqui Transportation Laboratory (TL) Number225391
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1615453
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedTruck chute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-02-15-6-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSACT HQ - Sacramento Concrete Testing Laboratory03/15/2022SA
Yes
03/15/2022