Sample Record

Owner Lab

  • CT SC Sub-unit 3665-103

DIME Sample ID 2015-05-12-1

Project Information

Project IdentifiersProject ID: 209788
DEA: 034F0704
EFIS: 0314000020
DIST-CO-RTE-PM03-SAC-50-17.1
Award Date12/31/1969
Closeout Date11/30/2017
Work DescriptionWIDEN STRUCTURE, EXTEND WEAVE LANE, AND ADD RAMP METERING.
Location DescriptionSACRAMENTO COUNTY AT NATOMA OVERHEAD
QA Service Level1 (Verified on 12/26/2014)

Sample Information

Sample Taken Date05/12/2015 Sample Unique Key1
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 testing05/13/2015
Sample typeQuality Assurance A brief description of the sample6 6x12 Concrete Cylinders
The quantity of what the sample constitutes6 concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byOleg Last name of sampler or witnessed byKreydich
Title of samplerSR Telephone number of sampler530-204-7059
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number173232
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier24 0120
Structure nameNatoma OH

Material Information

Material TypeConcrete The concrete mix design numberF628AFST0
The truck number from where the sample was collected56 The batch plant ticket number from where the sample was collected1061340
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedPump hopper into wheelbarrow 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
2015-05-12-1-1CTM 533-June 2010: Method of Test for Ball Penetration in Fresh Portland Cement Concrete OLEG KREYDICHCT SC Sub-unit 3665-10305/12/2015 OLEG KREYDICH
Yes
05/13/2015
2015-05-12-1-2CTM 557-July 2012: Method of Test for Temperature of Freshly Mixed Portland Cement Concrete OLEG KREYDICHCT SC Sub-unit 3665-10305/12/2015 OLEG KREYDICH
Yes
05/13/2015
2015-05-12-1-3ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMullinsCT HQ - Sacramento Concrete Testing Laboratory05/15/2015Mike Mullins
Yes
05/15/2015
2015-05-12-1-4ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMullinsCT HQ - Sacramento Concrete Testing Laboratory05/18/2015Mike Mullins
Yes
05/18/2015
2015-05-12-1-5ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMullinsCT HQ - Sacramento Concrete Testing Laboratory06/09/2015Mike Mullins
Yes
06/09/2015