Sample Record

Owner Lab

  • Caltrans Vallejo Field Laboratory

DIME Sample ID 2015-03-30-2

Project Information

Project IdentifiersProject ID: 209809
DEA: 041G6504
EFIS: 0400020538
COOP: 042316
DIST-CO-RTE-PM04-SF-101-5.0/6.0
Award DateNot set
Closeout DateNot set
Work DescriptionInstall new pedestrian tunnel connecting a future hospital and medical office building
Location DescriptionBeneath and across a portion of Rte 101 in the City and County of SF at Van Ness Ave
QA Service Level1 (Verified on 08/11/2014)

Sample Information

Sample Taken Date03/30/2015 Sample Unique Key2
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 testing04/01/2015
Sample typeInformational A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes2 From where was the sample collectedSource
First name of sampler or witnessed byRicardo Last name of sampler or witnessed byMedina
Title of samplerQAI Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameKieCon Transportation Laboratory (TL) Number192460
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberK254265
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected0
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedsolid slab 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
2015-03-30-2-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensWilliam SommerCaltrans Vallejo Field Laboratory04/27/2015William Sommer
No
Info