Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-05-24-24

Sample is locked from editing. info

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 Date05/24/2024 Sample Unique Key24
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 testing05/28/2024
Sample typeVerification A brief description of the samplePCC cylinders
The quantity of what the sample constitutes104.5 From where was the sample collectedJob Site
First name of sampler or witnessed bySok Last name of sampler or witnessed byThun
Title of samplerAssistant Structure Representative Telephone number of sampler5595199703
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameOutback Materials, Fresno Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameConcrete Barrier Slab

Material Information

Material TypeConcrete The concrete mix design number72T1X39
The truck number from where the sample was collected111 The batch plant ticket number from where the sample was collected160474
Concrete batch plantOutback Materials The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampledBarrier Slab at Wall 1
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-05-24-24-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersTomas Silva, CT D06 - Millbrook Field Laboratory06/21/2024Tomas Silva
Yes
06/21/2024

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-05-24-24-1 CTM 521-June 2020 (Verified)