Sample Record

Owner Labs

  • CT D04 - Fairfield Construction Field Office 59-545
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2023-10-23-21

Project Information

Project IdentifiersProject ID: 994646
DEA: 043Q5804
EFIS: 0419000226
DIST-CO-RTE-PM04-SOL-12,37,80,505,680,780-VAR
Award Date06/29/2023
Closeout DateNot set
Work DescriptionPLACE POLYESTER CONCRETE OVERLAY AND CONSTRUCT APPROACH SLAB.
Location DescriptionSOLANO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/11/2023)

Sample Information

Sample Taken Date10/23/2023 Sample Unique Key21
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 testing10/25/2023
Sample typeQuality Assurance A brief description of the sampleStructural Concrete
The quantity of what the sample constitutes18 CY From where was the sample collectedJob Site
First name of sampler or witnessed byKambiz Last name of sampler or witnessed byKouchesfani
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier23-0175G
Structure nameE37-E80 Connector

Material Information

Material TypeConcrete The concrete mix design number1615674
The truck number from where the sample was collected2 The batch plant ticket number from where the sample was collected10072281
Concrete batch plant4132 Cordelia Rd The fabricator/manufacturer designation for the sampleCemex
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 sampledPedestal for Bridge Jacking
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-10-23-21-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory11/02/2023SA
Yes
11/02/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-10-23-21-2 ASTM C39-17a (Verified)