Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2024-10-04-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000017 DEA: 042Q7004 EFIS: 0419000040 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-4-L0.0/R14.3 |
| Award Date | 04/26/2024 |
| Closeout Date | Not set |
| Work Description | REPLACE ASPHALT CONCRETE SURFACING AND INSTALL MGS. |
| Location Description | CONTRA COSTA COUNTY IN HERCULES AND CONCORD FROM SAN PABLO AVENUE TO ROUTE 4/242 SEPARATION |
| QA Service Level | 1 (Verified on 01/08/2024) |
Sample Information
| Sample Taken Date | 10/04/2024 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 testing | 10/04/2024 |
| Sample type | Quality Assurance | A brief description of the sample | PCC Beam testing 3 hour test |
| The quantity of what the sample constitutes | 250 cy | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Dan | Last name of sampler or witnessed by | Ringler |
| Title of sampler | Lab Technician | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vanguard mobile plant # 887 Martinez | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | HE4X4BM |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 4752 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | At job site from the transportation truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-10-04-6-1 CTM 524-March 2013 (Verified)