Sample Record

Owner Lab

  • CT D06 - Fresno Construction Field Office

DIME Sample ID 2024-04-11-37

Project Information

Project IdentifiersProject ID: 995260
DEA: 061G0504
EFIS: 0623000195
DIST-CO-RTE-PM06-FRE-VAR,(180),245-99/104, (99.0)/0.0/(104.0)/9.0
Award Date03/29/2023
Closeout DateNot set
Work DescriptionRoutes 180, 245 Emergency Slip Out Repair
Location DescriptionNot set
QA Service Level1 (Verified on 10/20/2023)

Sample Information

Sample Taken Date04/11/2024 Sample Unique Key37
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 testing04/12/2024
Sample typeQuality Assurance A brief description of the sampleConcrete Test Samples
The quantity of what the sample constitutes12 CY From where was the sample collectedJob Site
First name of sampler or witnessed byYe Last name of sampler or witnessed byYang
Title of samplerASR Telephone number of sampler559-779-0446
Laboratory sample identification148 Linked DIME Sample ID
The fabricator/manufacturer/facility nameOutback Materials Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameWall 2

Material Information

Material TypeConcrete The concrete mix design number40F5G07
The truck number from where the sample was collected103 The batch plant ticket number from where the sample was collected157626
Concrete batch plantOutback Materials The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedWheelbarrow from concrete truck Where the material sample would have been placed if not sampledPile 2, 5
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-04-11-37-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersTomas Silva, CT D06 - Millbrook Field Laboratory04/22/2024Tomas Silva
Yes
04/22/2024
2024-04-11-37-2CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersGurjeet Litt, CT D06 - Millbrook Field Laboratory05/09/2024Gurjeet Litt
Yes
05/09/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-04-11-37-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-04-11-37-2 CTM 521-June 2020 (Verified)