Sample Record
Owner Labs
- CT SC - 3674 - Livermore
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-09-20-31
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209820 DEA: 04297634 EFIS: 0415000040 COOP: 042548 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84,680-17.9/21 |
| Award Date | 02/19/2021 |
| Closeout Date | Not set |
| Work Description | ROUTE 84 WIDENING (4-LANE EXPRESSWAY) FROM I-680 TO PIGEON PASS, INCLUDING INTERSECTION, DRAINAGE IMPROVEMENTS AND UTILITY RELOCATION. |
| Location Description | ALAMEDA COUNTY IN AND NEAR SUNOL, PLEASANTON, AND LIVERMORE ON ROUTE 84 FROM 0.1 MILE EAST OF ROUTE 680 TO 0.1 MILE SOUTH OF RUBY HILL DRIVE AND ON ROUTE 680 FROM 1.2 MILES SOUTH TO 1.8 MILES NORTH OF ROUTE 84 |
| QA Service Level | 1 (Verified on 11/04/2019) |
Sample Information
| Sample Taken Date | 09/20/2024 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 testing | 09/23/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Structural Concrete |
| The quantity of what the sample constitutes | 165 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Marcos | Last name of sampler or witnessed by | Lopez |
| Title of sampler | ASR | Telephone number of sampler | 510-496-9610 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Central Concrete Supply | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 01-33E0434 | |
| Structure name | Retaining Wall 17 |
Material Information
| Material Type | Concrete | The concrete mix design number | D20115EA |
|---|---|---|---|
| The truck number from where the sample was collected | 6202 | The batch plant ticket number from where the sample was collected | 295104 |
| Concrete batch plant | Hayward Plant 11 | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | sample from 5 gallon bucket, taken from truck chute | Where the material sample would have been placed if not sampled | Barrier slab section 4 |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||