Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2022-04-04-17

Project Information

Project IdentifiersProject ID: 214590
DEA: 043G4744
EFIS: 0412000074
DIST-CO-RTE-PM04-MRN,MRN-580-6.9/7.8,0.0/2.5
Award Date01/14/2021
Closeout DateNot set
Work DescriptionCLEAN AND PAINT STRUCTURAL STEEL BRIDGE.
Location DescriptionCONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET
QA Service Level1 (Verified on 02/18/2020)

Sample Information

Sample Taken Date04/04/2022 Sample Unique Key17
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 testing04/05/2022
Sample typeQuality Assurance A brief description of the sample3 - 4x8" Concrete Cylinders
The quantity of what the sample constitutes3 - 4x8 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byRommoney Last name of sampler or witnessed byWu
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameField Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedField 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
2022-04-04-17-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensAndre TotariCT QASI - Bay Area Field Laboratory04/07/2022Andre Totari
No
Info