Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-06-04-7

Project Information

Project IdentifiersProject ID: 208959
DEA: 04265604
EFIS: 0400000743
COOP: 042390A1
DIST-CO-RTE-PM04-SM-1-40.64/40.95
Award Date03/10/2014
Closeout Date01/29/2018
Work DescriptionREPLACEMENT OF THE EXISTING SAN PEDRO CREEK BRIDGE
Location DescriptionON ROUTE 1 IN SAN MATEO COUNTY
QA Service Level1 (Verified on 03/25/2014)

Sample Information

Sample Taken Date06/04/2015 Sample Unique Key7
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 testing06/10/2015
Sample typeVerification A brief description of the sampleconcrete cylinders
The quantity of what the sample constitutes2 concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byC Last name of sampler or witnessed byLaw
Title of samplerSR Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namefield Transportation Laboratory (TL) Number119140
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberd15pp562
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedna
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedfield Where the material sample would have been placed if not sampledUnknown
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-06-04-7-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBangCT HQ - Sacramento Concrete Testing Laboratory07/02/2015Bang Nguyen
Yes
07/02/2015