Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-01-29-4

Project Information

Project IdentifiersProject ID: 210188
DEA: 656A27520
EFIS: 0000001176
DIST-CO-RTE-PM---
Award DateNot set
Closeout DateNot set
Work DescriptionType 50C Median Barrier Test Section
Location DescriptionCHP Academy - RSRG Dynamic Test Facility
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date01/29/2015 Sample Unique Key4
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 testing02/26/2015
Sample typeQuality Control A brief description of the sampleconcrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byShe Last name of sampler or witnessed byVang
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCHP Academy Transportation Laboratory (TL) Number82778
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberRP075NR5W
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 collectedCHP Academy 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
2015-01-29-4-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensShe VangCT HQ - Sacramento Concrete Testing Laboratory02/27/2015She Vang
Yes
02/27/2015 

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