Sample Record

Owner Lab

  • CT D03 - Sacramento Structures Construction Sanders Construction Field Office

DIME Sample ID 2015-02-02-1

Project Information

Project IdentifiersProject ID: 209059
DEA: 033E1004
EFIS: 0300000473
DIST-CO-RTE-PM03-PLA-80-8.1/37.8
Award Date01/28/2014
Closeout Date01/23/2017
Work DescriptionIMPROVING VERTICAL CLEARANCE
Location DescriptionPLACER COUNTY IN AND NEAR LOOMIS, PENRYN, NEWCASTLE, WEIMAR, AND MAGRA FROM 0.1 MILE WEST OF BRACE ROAD OVERCROSSING TO 0.1 MILE EAST OF MAGRA OVERCROSSING
QA Service Level1 (Verified on 01/15/2014)

Sample Information

Sample Taken Date02/02/2015 Sample Unique Key1
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 testing02/03/2015
Sample typeQuality Control A brief description of the sample2 6x12 concrete cylinders
The quantity of what the sample constitutes2 6x12 concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byBrandon Last name of sampler or witnessed byMiller
Title of samplerASR Telephone number of sampler9165056839
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTeichert Transportation Laboratory (TL) Number2015 02 02 00000001
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberj7a8543cc
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected2
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedfrom mix truck 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
2015-02-02-1-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMMCT HQ - Sacramento Concrete Testing Laboratory03/02/2015MM
Yes
03/02/2015