Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-02-25-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211997 DEA: 044K1504 EFIS: 0417000271 COOP: 250 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-1-4.0/8.0, 4.0/5.0 |
| Award Date | 01/03/2017 |
| Closeout Date | 12/20/2017 |
| Work Description | const SPW and replace culvert |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 02/03/2017) |
Sample Information
| Sample Taken Date | 02/25/2017 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 03/13/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 2 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 34 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Marr |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | soldier pile wall | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 4201a |
|---|---|---|---|
| The truck number from where the sample was collected | 151528 | The batch plant ticket number from where the sample was collected | 151528 |
| Concrete batch plant | 01 | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | soldier pile wall |
| 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: 2017-02-25-1-1 ASTM C39-10 (Verified)