Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-11-15-20

Project Information

Project IdentifiersProject ID: 215317
DEA: 101J0104
EFIS: 1018000079
DIST-CO-RTE-PM10-CAL,CAL-88,34-34.6/2.2
Award Date05/19/2022
Closeout Date11/16/2023
Work DescriptionConstruct fuel island canopies.
Location DescriptionIn Calaveras and Alpine counties on Route 26 at the West Point Maintenance Station and on Route 88 at the Caples Lake Maintenance Station.
QA Service Level1 (Verified on 07/29/2022)

Sample Information

Sample Taken Date11/15/2022 Sample Unique Key20
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 testing11/17/2022
Sample typeQuality Assurance A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes9 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byRS Last name of sampler or witnessed byRS
Title of samplerASR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number79393
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number718816A6
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 collectedchute 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
2022-11-15-20-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensPM, CT HQ - Sacramento Concrete Testing Laboratory11/29/2022PM
Yes
11/29/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-11-15-20-1 ASTM C39-17a (Verified)