Sample Record

Owner Labs

  • CT SC - 3674 - Pacifica 2
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2023-09-21-42

Project Information

Project IdentifiersProject ID: 994242
DEA: 042J7404
EFIS: 0415000010
DIST-CO-RTE-PM04-SM-101-0.9/23.4
Award Date02/08/2023
Closeout DateNot set
Work DescriptionREMOVE BRIDGES (PORTIONS), BRIDGE BARRIERS, CONCRETE BARRIERS, & HMA.
Location DescriptionSAN MATEO COUNTY AT VARIOUS LOCATIONS FROM UNIVERSITY AVENUE OVERCROSSING TO SIERRA POINT OFF RAMP OVERCROSSING
QA Service Level1 (Verified on 09/28/2022)

Sample Information

Sample Taken Date09/21/2023 Sample Unique Key42
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing09/27/2023
Sample typeQuality Assurance A brief description of the sample4 by 8 concrete
The quantity of what the sample constitutes300CY Concrete From where was the sample collectedJob Site
First name of sampler or witnessed bySeyoum Last name of sampler or witnessed byWorkenh
Title of samplerASR Telephone number of sampler6502227209
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGraniterock Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier35-0131S
Structure nameSierra point bridge

Material Information

Material TypeConcrete The concrete mix design number577750E6
The truck number from where the sample was collected2324 The batch plant ticket number from where the sample was collected113084
Concrete batch plantRedwood city The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBridge deck, concrete sample from wheel barrow Where the material sample would have been placed if not sampledBridge deck
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-09-21-42-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory10/19/2023SA
Yes
10/19/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-09-21-42-1 ASTM C39-17a (Verified)