Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-09-06-21

Project Information

Project IdentifiersProject ID: 993390
DEA: 041W0004
EFIS: 0420000322
COOP: 04A6111
DIST-CO-RTE-PM04-MRN-1-1.0
Award DateNot set
Closeout DateNot set
Work DescriptionINSTALL RECTANGULAR RAPID FLASHING BEACON (RRFB) AND S
Location DescriptionNot set
QA Service Level1 (Verified on 11/03/2021)

Sample Information

Sample Taken Date09/06/2022 Sample Unique Key21
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 testing09/08/2022
Sample typeQuality Assurance A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes3 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byHarry Last name of sampler or witnessed bySuryantoro
Title of samplerASR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number280874
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number01-6
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedVolumetric Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-09-06-21-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensPM, CT HQ - Sacramento Concrete Testing Laboratory09/20/2022PM
Yes
09/20/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-09-06-21-1 ASTM C39-17a (Verified)