Sample Record

Owner Labs

  • CT SC Sub-unit 3672-105
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-06-18-3

Project Information

Project IdentifiersProject ID: 7566
DEA: 042640K4
EFIS: 0412000406
COOP: 0412458
DIST-CO-RTE-PM04---
Award DateNot set
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date06/18/2015 Sample Unique Key3
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 testing07/01/2015
Sample typeQuality Assurance A brief description of the sample2 6x12 concrete cylinders
The quantity of what the sample constitutesCrash Wall 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 sampler7073334263
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameShamrock Transportation Laboratory (TL) NumberC936502
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameCrash Wall

Material Information

Material TypeConcrete The concrete mix design number4201a
The truck number from where the sample was collected1410 The batch plant ticket number from where the sample was collected427194
Concrete batch plant04 The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedback of truck Where the material sample would have been placed if not sampledCrash Wall
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-06-18-3-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMullinsCT HQ - Sacramento Concrete Testing Laboratory07/16/2015Mike Mullins
Yes
07/16/2015