Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2015-06-23-8

Project Information

Project IdentifiersProject ID: 210032
DEA: 044A0904
EFIS: 0415000178
DIST-CO-RTE-PM04-NAP-29,101-47.0/47.2
Award Date02/23/2015
Closeout Date12/19/2017
Work DescriptionBRIDGE REPLACEMENT.
Location DescriptionNAPA COUNTY ABOUT 6. MILES NORTH OF CALISTOGA AT TROUTDALE CREEK BRIDGE.
QA Service Level1 (Verified on 11/05/2014)

Sample Information

Sample Taken Date06/23/2015 Sample Unique Key8
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing06/25/2015
Sample typeInformational A brief description of the sampleCylinders
The quantity of what the sample constitutes2 concrete cylinders From where was the sample collectedSource
First name of sampler or witnessed byStacey Last name of sampler or witnessed byDavis
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKieCon Transportation Laboratory (TL) Number192461
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberunk
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected111
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSource Where the material sample would have been placed if not sampled
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-06-23-8-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensWilliam Sommer, CT HQ - QASI Bay Area Field Office06/30/2015William Sommer
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2015-06-23-8-1 ASTM C39-10