Sample Record

Owner Lab

  • CT D01 - Crescent City Field Laboratory

DIME Sample ID 2023-02-28-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215620
DEA: 01436404
EFIS: 0100000193
DIST-CO-RTE-PM01-DN-101-35.8/36.5
Award Date07/11/2022
Closeout DateNot set
Work DescriptionDr. Fine Bridge Replacement
Location DescriptionDR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
QA Service Level1 (Verified on 03/26/2021)

Sample Information

Sample Taken Date02/28/2023 Sample Unique Key12
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 testing02/28/2023
Sample typeQuality Assurance A brief description of the sampleCIP Concrete
The quantity of what the sample constitutes46 CY From where was the sample collectedJob Site
First name of sampler or witnessed byTance Last name of sampler or witnessed bySingletary
Title of samplerASR Telephone number of sampler4074628500
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTidewater Starry pit Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormDS-0001 Structure unique identifier01-0041
Structure nameDr Fine Temporary Bridge

Material Information

Material TypeConcrete The concrete mix design numberSR3-8CIDH
The truck number from where the sample was collected109 The batch plant ticket number from where the sample was collected57578
Concrete batch plantStary Plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledTemp Abutment 1 RT CIDH
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-02-28-12-1CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement ConcreteTance Singletary, CT D01 - Crescent City Field Laboratory 02/28/2023Tance Singletary
Yes
03/01/2023
2023-02-28-12-2CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure MethodTance Singletary, CT D01 - Crescent City Field Laboratory 02/28/2023Tance Singletary
Yes
03/01/2023
2023-02-28-12-3CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersLeif Ayres, CT D01 - District 1 Materials Laboratory03/28/2023Leif Ayres
Yes
03/28/2023
2023-02-28-12-5CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement ConcreteTance Singletary, CT D01 - Crescent City Field Laboratory 02/28/2023Tance Singletary
Yes
03/01/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-02-28-12-1 CTM 557-June 2020 (Verified)
DIME Test ID: 2023-02-28-12-2 CTM 504-June 2010 (Verified)
DIME Test ID: 2023-02-28-12-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-02-28-12-5 CTM 556-January 2018 (Verified)