Sample Record for 2024-05-13-102
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993825 DEA: 040Q30U4 EFIS: 0420000235 COOP: 042830A3,042830A4
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA,CC-680-R11.0/R21.9,R0.0/R0.9
Work Description: PRECAST CONC PVMT, ELECTRONIC TOLL SYSTEM, JPCP, CB & STRUCTURAL CONC
Location Description: ALAMEDA AND CONTRA COSTA COUNTIES AT SUNOL AND IN SAN RAMON BETWEEN 0.4 MILE SOUTH OF CALAVERAS ROAD UNDERCROSSING TO 0.9 MILE NORTH OF ALCOSTA BOULEVARD OVERCROSSING
Contractor Name: BAY CITIES PAVING & GRADING (Jason Ochoa)
Contractor Address: 1450 CIVIC CT, BLDG B #400, CONCORD, CA 94520
Resident Engineer: Yannaing Tun Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2024-05-13-102
TL Number from the TL Form: Unknown
Sample Submitted By Organization: G3 Quality, Incorporated - Cerritos
Sample Organization Contact: (562) 321-9840
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 05/13/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/14/2024
The quantity of what the sample constitutes: 4
A brief description of the sample: 6X12 Concrete Cylinders
From where was the sample collected: Job Site
Laboratory sample identification: Mix D20119EA, Set 1
Structure unique identifier: 00-0000
Structure name:
The fabricator/manufacturer/facility name: Central Concrete Supply
Material Information
The concrete mix design number: D20119EA
The truck number from where the sample was collected: Load 2 Truck 2
The batch plant ticket number from where the sample was collected: 0
Concrete batch plant: Unknown
The fabricator/manufacturer designation for the sample: Set 1
A detailed description of where the material sample was collected: Truck 2 at 18 yards
Where the material sample would have been placed if not sampled: Unknown
From Lot No.: 1
Bag Lot No.: 1
Test Results
