Sample Record

Owner Lab

  • CT HQ - Concrete Lab Docking Station Laboratory

DIME Sample ID 2015-02-04-1

Project Information

Project IdentifiersProject ID: 209059
DEA: 033E1004
EFIS: 0300000473
DIST-CO-RTE-PM03-PLA-80-8.1/37.8
Award Date12/31/1969
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 Date02/04/2015 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 testing02/06/2015
Sample typeVerification A brief description of the sampleconcrete cylinders
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byPyo Last name of sampler or witnessed byhong
Title of samplerASR Telephone number of sampler5306823847
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameBent 2 column Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberna
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedna
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedna 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
2015-02-04-1-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensShe VangCT HQ - Sacramento Concrete Testing Laboratory02/06/2015She Vang
Yes
02/06/2015