Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-04-05-16

Project Information

Project IdentifiersProject ID: 210037
DEA: 043G4424
EFIS: 0412000042
DIST-CO-RTE-PM04-SF-80-R5.6/7.6
Award Date03/22/2018
Closeout DateNot set
Work DescriptionWEST SPAN DAMPER BRACKET A325 BOLT TESTING
Location DescriptionSFOBB WEST SPAN
QA Service Level1 (Verified on 11/04/2014)

Sample Information

Sample Taken Date04/05/2022 Sample Unique Key16
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 testing04/11/2022
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byRobert Last name of sampler or witnessed byRamos
Title of samplerASR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number203603
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberunknown
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 collectedUnknown 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
2022-04-05-16-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSACT HQ - Sacramento Concrete Testing Laboratory04/12/2022SA
Yes
04/12/2022