Sample Record

Owner Lab

  • CT SC Sub-unit 3674-102

DIME Sample ID 2015-04-02-4

Project Information

Project IdentifiersProject ID: 7566
DEA: 042640K4
EFIS: 0412000406
COOP: 0412458
DIST-CO-RTE-PM04---
Award DateNot set
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date04/02/2015 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 testing04/10/2015
Sample typeQuality Assurance A brief description of the sample4 2X6 Concrete Cylandars
The quantity of what the sample constitutesRW 179 Wall 8616 to 8712 From where was the sample collectedJob Site
First name of sampler or witnessed byHarry Last name of sampler or witnessed bySuryantaro
Title of samplerTEC Telephone number of sampler510) 385-7179
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameRW 179 St 8616 to 8712 Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierRW 179 Wall
Structure nameRW 179

Material Information

Material TypeConcrete The concrete mix design number4201a
The truck number from where the sample was collected1289 The batch plant ticket number from where the sample was collected425029
Concrete batch plant04 The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedRW 179 Wall Staton 8616 to 8712 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
2015-04-02-4-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMike MullinsCT HQ - Sacramento Concrete Testing Laboratory04/13/2015
Yes
04/13/2015
2015-04-02-4-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBangCT HQ - Sacramento Concrete Testing Laboratory04/30/2015Bang Nguyen
Yes
04/30/2015