Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-07-12-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211736 DEA: 042A4904 EFIS: 0400000827 |
|---|---|
| DIST-CO-RTE-PM | 04-SF-280-R4.8/R6.2 |
| Award Date | 12/09/2016 |
| Closeout Date | 01/30/2018 |
| Work Description | BRIDGE POLYESTER CONCRETE OVERLAY, DRAINAGE AND BARRIER RECONSTRUCTION |
| Location Description | THE CITY AND COUNTY OF SAN FRANCISCO AT VARIOUS LOCATIONS FROM 0.5 MILE NORTH OF ROUTE 280/101 SEPARATION TO 0.2 MILE SOUTH OF 20TH STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 01/31/2017) |
Sample Information
| Sample Taken Date | 07/12/2017 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 07/12/2017 |
| Sample type | Quality Assurance | A brief description of the sample | concrete cylinders |
| The quantity of what the sample constitutes | 2 concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | G | Last name of sampler or witnessed by | Lui |
| Title of sampler | asr | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | field | Transportation Laboratory (TL) Number | 201655 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 1521431 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | na |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | field | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
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. | |||