Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2023-05-31-37

Project Information

Project IdentifiersProject ID: 212737
DEA: 060S8304
EFIS: 0615000046
Award Date05/27/2022
Closeout DateNot set
Work DescriptionTUMEY GULCH ABUTMENT REHAB BR# 42-0246L/R.
QA Service Level1 (Verified on 09/25/2018)

Sample Information

Sample Taken Date05/31/2023 Sample Unique Key37
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 testing05/31/2023
Sample typeVerification A brief description of the sampleStructural Concrete - Abutment Footing
The quantity of what the sample constitutes300 Cy From where was the sample collectedJob Site
First name of sampler or witnessed byMartin Last name of sampler or witnessed byGarcia
Title of samplerMartin Garcia Telephone number of sampler5592469430
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDon Chapin Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier42-0455L
Structure nameTumey Gulch Bridge

Material Information

Material TypeConcrete The concrete mix design numberG67534SA
The truck number from where the sample was collected3 The batch plant ticket number from where the sample was collected420213
Concrete batch plantChapin Ready Mix The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from Concrete Truck into Wheelbarrow Where the material sample would have been placed if not sampledSB Bridge Abutment 2 Footing
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-31-37-1ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement ConcreteMartin Garcia, CT D06 - Millbrook Field Laboratory05/31/2023Martin Garcia
2023-05-31-37-2ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteMartin Garcia, CT D06 - Millbrook Field Laboratory05/31/2023Martin Garcia

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments

DIME Test ID: 2023-05-31-37-1 ASTM C143-15a
DIME Test ID: 2023-05-31-37-2 ASTM C1064-17