Sample Record

Owner Lab

  • CT HQ - Vallejo Field Laboratory

DIME Sample ID 2024-07-23-42

Project Information

Project IdentifiersProject ID: 1000259
DEA: 050N74V4
EFIS: 0522000043
DIST-CO-RTE-PM05-SB-101-9.2/9.7
Award Date02/08/2024
Closeout DateNot set
Work DescriptionNot set
Location DescriptionFOR CONSTRUCTION ON STATE HIGHWAY IN SANTA BARBARA COUNTY AT MONTECITO FROM 0.2 MILE NORTH OF SHEFFIELD DRIVE UNDERCROSSING TO 0.3 MILE SOUTH OF SAN YSIDRO ROAD OVERCROSSING
QA Service Level1 (Verified on 04/15/2024)

Sample Information

Sample Taken Date07/23/2024 Sample Unique Key42
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 testing07/24/2024
Sample typeQuality Assurance A brief description of the sample3 Cylinders
The quantity of what the sample constitutes3 cylinders From where was the sample collectedSource
First name of sampler or witnessed bySherri Last name of sampler or witnessed byBrannon
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKieCon Antioch Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberK5065-23137
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected121767
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedKiecon Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-07-23-42-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensNikhil Moon, CT HQ - Vallejo Field Laboratory07/24/2024Nikhil Moon
Yes
07/26/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-07-23-42-1 ASTM C39-21 (Verified)