DIME - Sample Record for DIME Sample ID 2015-10-13-14

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Sample Record

Owner Lab

Summit Associates

DIME Sample ID 2015-10-13-14

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Project Information

Project Identifiers	Project ID: 209187 DEA: 04235624 EFIS: 0400000678 COOP: 042583
DIST-CO-RTE-PM	04-SCL,SM-101-52.0/52.6,0.0/0.6
Award Date	04/28/2015
Closeout Date	01/08/2020
Work Description	BRIDGE REPLACEMENT
Location Description	SANTA CLARA AND SAN MATEO COUNTIES IN PALO ALTO AND EAST PALO ALTO FROM OREGON EXPRESSWAY OVERCROSSING TO 0.3 MILE SOUTH OF UNIVERSITY AVENUE OVERCROSSING
QA Service Level	1 (Verified on 12/11/2013)

Sample Information

Sample Taken Date	10/13/2015	Sample Unique Key	14
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 testing	10/14/2015
Sample type	Quality Control	A brief description of the sample	4 EA 6x12 Compression Cylinder
The quantity of what the sample constitutes	One Sample Every 100 CY	From where was the sample collected	Job Site
First name of sampler or witnessed by	Mark	Last name of sampler or witnessed by	Alexander
Title of sampler	QC Technician	Telephone number of sampler	5106141044
Laboratory sample identification	150179	Linked DIME Sample ID	Unknown
The fabricator/manufacturer/facility name	Central Concrete	Transportation Laboratory (TL) Number	Unknown
Inspector Lot Number from the Transportation Laboratory (TL) Form	Unknown	Structure unique identifier	350348
Structure name	Bridge Deck

Material Information

Material Type	Concrete	The concrete mix design number	D15PP562
The truck number from where the sample was collected	1249	The batch plant ticket number from where the sample was collected	18106278
Concrete batch plant	Unknown	The fabricator/manufacturer designation for the sample	Unknown
A detailed description of where the material sample was collected	Truck Chute	Where the material sample would have been placed if not sampled	Bridge Deck
From Lot No.	Not set	Bag Lot No.	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2015-10-13-14-1	ASTM C1064-12: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete	Mark Alexander, Summit Associates	10/13/2015	Kittric Guest	Yes	01/13/2016
2015-10-13-14-2	ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete	Mark Alexander, Summit Associates	10/13/2015	Kittric Guest	Yes	01/13/2016
2015-10-13-14-3	ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement Concrete	Mark Alexander, Summit Associates	10/13/2015	Kittric Guest	Yes	01/13/2016
2015-10-13-14-4	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Mark Alexander, Summit Associates	10/19/2015	Kittric Guest	Yes	01/13/2016
2015-10-13-14-5	ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens	Mark Alexander, Summit Associates	11/10/2015	Kittric Guest	Yes	01/13/2016

Sample File Attachments

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Test File Attachments

DIME Test ID: 2015-10-13-14-1 ASTM C1064-12 (Verified)
DIME Test ID: 2015-10-13-14-2 ASTM C138-17a (Verified)
DIME Test ID: 2015-10-13-14-3 ASTM C143-15a (Verified)
DIME Test ID: 2015-10-13-14-4 ASTM C39-17a (Verified)
DIME Test ID: 2015-10-13-14-5 ASTM C39-17a (Verified)