Sample Record

Owner Lab

  • Jensen Precast - Lockford

DIME Sample ID 2022-09-14-56

Project Information

Project IdentifiersProject ID: 88887
DEA: PC-Barrier-STOCK
EFIS: PC-Barrier-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for precast barrier rail stock material.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date09/14/2022 Sample Unique Key56
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 testing09/14/2022
Sample typeQuality Control A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes18.16 yards From where was the sample collectedSource
First name of sampler or witnessed byJoshua Last name of sampler or witnessed byViolett
Title of samplerQC Technician Telephone number of sampler916-992-8316
Laboratory sample identification100006010-4 Linked DIME Sample ID100006010-4
The fabricator/manufacturer/facility nameJensen Precast Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form12404 Structure unique identifier04-200050664
Structure nameJJ-Hooks Barrier

Material Information

Material TypeConcrete The concrete mix design number100006010
The truck number from where the sample was collectedstationary mixer The batch plant ticket number from where the sample was collected2022091510004
Concrete batch plantJensen Precast The fabricator/manufacturer designation for the samplezone 1
A detailed description of where the material sample was collectedzone 1 Where the material sample would have been placed if not sampledzone 1
From Lot No.12404 Bag Lot No.12404

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-09-14-56-1ASTM C1064-12: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteJoshua Violett, Jensen Precast - Lockford09/14/2022Gary Land
Yes
09/21/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-09-14-56-1 ASTM C1064-12 (Verified)