Sample Record
Owner Lab
- CT D05 - Santa Cruz Field Laboratory
DIME Sample ID 2023-06-13-76
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993868 DEA: 050C7324 EFIS: 0512000228 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-13.4/14.9 |
| Award Date | 10/14/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT PEDESTRIAN OVERCROSSING AND AUXILIARY LANE. |
| Location Description | SANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM 0.2 MILE SOUTH OF 41ST AVENUE OVERCROSSING TO 0.2 MILE NORTH OF SOQUEL DRIVE OVERCROSSING |
| QA Service Level | 1 (Verified on 06/17/2022) |
Sample Information
| Sample Taken Date | 06/13/2023 | Sample Unique Key | 76 |
|---|---|---|---|
| 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 | 06/14/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete for Bent # 2 |
| The quantity of what the sample constitutes | 3 4x8 concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sean | Last name of sampler or witnessed by | skeen |
| Title of sampler | ASR | Telephone number of sampler | (510) 779-7833 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Las Animas Concrete | Transportation Laboratory (TL) Number | 252863 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 713W2S5 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
| Concrete batch plant | Las Animas Santa Cruz | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Wheel Barrow from Chute | Where the material sample would have been placed if not sampled | Bent 2 |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2023-06-13-76-1 | ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | Jorge Fernendez, CT D05 - Santa Cruz Field Laboratory | 07/11/2023 | Jorge Fernendez | No | Requirement is at 4,000 PSI at 28 days | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-13-76-1 ASTM C39-17a