DIME - Sample Record for DIME Sample ID 2015-05-12-1

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Sample Record

Owner Lab

CT SC - 3665 - Shingle Springs

DIME Sample ID 2015-05-12-1

Project Information

Project Identifiers	Project ID: 209788 DEA: 034F0704 EFIS: 0314000020
DIST-CO-RTE-PM	03-SAC-50-17.1
Award Date	10/31/2014
Closeout Date	11/30/2017
Work Description	WIDEN STRUCTURE, EXTEND WEAVE LANE, AND ADD RAMP METERING.
Location Description	SACRAMENTO COUNTY AT NATOMA OVERHEAD
QA Service Level	1 (Verified on 12/26/2014)

Sample Information

Sample Taken Date	05/12/2015	Sample Unique Key	1
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 testing	05/13/2015
Sample type	Quality Assurance	A brief description of the sample	6 6x12 Concrete Cylinders
The quantity of what the sample constitutes	6 concrete cylinders	From where was the sample collected	Job Site
First name of sampler or witnessed by	Oleg	Last name of sampler or witnessed by	Kreydich
Title of sampler	SR	Telephone number of sampler	530-204-7059
Laboratory sample identification	Unknown	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Jobsite	Transportation Laboratory (TL) Number	173232
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	24 0120
Structure name	Natoma OH

Material Information

Material Type	Concrete	The concrete mix design number	F628AFST0
The truck number from where the sample was collected	56	The batch plant ticket number from where the sample was collected	1061340
Concrete batch plant	Unknown	The fabricator/manufacturer designation for the sample	Unknown
A detailed description of where the material sample was collected	Pump hopper into wheelbarrow	Where the material sample would have been placed if not sampled	Not set
From Lot No.	Not set	Bag Lot No.	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2015-05-12-1-1	CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete	OLEG KREYDICH, CT SC - 3665 - Shingle Springs	05/12/2015	OLEG KREYDICH	Yes	05/13/2015
2015-05-12-1-2	CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete	OLEG KREYDICH, CT SC - 3665 - Shingle Springs	05/12/2015	OLEG KREYDICH	Yes	05/13/2015
2015-05-12-1-3	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Mullins, CT HQ - Sacramento Concrete Testing Laboratory	05/15/2015	Mike Mullins	Yes	05/15/2015
2015-05-12-1-4	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Mullins, CT HQ - Sacramento Concrete Testing Laboratory	05/18/2015	Mike Mullins	Yes	05/18/2015
2015-05-12-1-5	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Mullins, CT HQ - Sacramento Concrete Testing Laboratory	06/09/2015	Mike Mullins	Yes	06/09/2015

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2015-05-12-1-1 CTM 533-June 2010 (Verified)
DIME Test ID: 2015-05-12-1-2 CTM 557-July 2012 (Verified)
DIME Test ID: 2015-05-12-1-3 ASTM C39-17a (Verified)
DIME Test ID: 2015-05-12-1-4 ASTM C39-17a (Verified)
DIME Test ID: 2015-05-12-1-5 ASTM C39-17a (Verified)