Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-02-05-3

Project Information

Project IdentifiersProject ID: 209896
DEA: 043J0104
EFIS: 0415000070
DIST-CO-RTE-PM04-NAP-29,121-6.9,5.3
Award Date09/10/2014
Closeout Date01/14/2016
Work DescriptionRepair Damage to Bridge
Location DescriptionAt Napa River Bridge OH and at Imola Avenue
QA Service Level1 (Verified on 03/11/2015)

Sample Information

Sample Taken Date02/05/2015 Sample Unique Key3
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 testing02/10/2015
Sample typeQuality Control A brief description of the sampleconcrete cylinder
The quantity of what the sample constitutes2 concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byGamal Last name of sampler or witnessed byAbushaban
Title of samplerTE Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namefield Transportation Laboratory (TL) Number208302
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number1418007
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 collectedfield 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
2015-02-05-3-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensShe VangCT HQ - Sacramento Concrete Testing Laboratory02/19/2015She Vang
Yes
02/19/2015