Sample Record

Owner Lab

  • CT SC Sub-unit 3672-105

DIME Sample ID 2015-04-21-3

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 Date04/21/2015 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 testing05/01/2015
Sample typeQuality Assurance A brief description of the sample2 6x12 concrete cylinders
The quantity of what the sample constitutes72 CY Wall RW 179 From where was the sample collectedJob Site
First name of sampler or witnessed byMelvin Last name of sampler or witnessed byDumlao
Title of samplerTEC Telephone number of sampler510)714-7638
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameShamrock Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierRW179
Structure nameRW179

Material Information

Material TypeConcrete The concrete mix design number4201A
The truck number from where the sample was collected1953 The batch plant ticket number from where the sample was collected425591
Concrete batch plant04 The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedRW 179 Wall Staton 8328 to 8424 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
2015-04-21-3-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMullinsCT HQ - Sacramento Concrete Testing Laboratory05/19/2015Mike Mullins
Yes
05/19/2015