Sample Record
DIME Sample ID 2017-11-02-1
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Project Information
| Project Identifiers | Project ID: 211616 DEA: 050G0404 EFIS: 0500020020 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO,MON-101-63.2/R69.3,R0.0/R1.9 |
| Award Date | 11/16/2016 |
| Closeout Date | 10/29/2020 |
| Work Description | ROADWAY REHABILITATION AND BRIDGE CONSTRUCTION. |
| Location Description | SAN LUIS OBISPO AND MONTERY COUNTIES NEAR PASO ROBLES FROM 0.5 MILE SOUTH OF SAN MARCOS CREEK BRIDGE TO 0.2 MILE SOUTH OF BRADLEY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 09/15/2016) |
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 11/02/2017 | Sample Unique Key | 1 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | Not set | Sample type | Verification |
| A brief description of the sample | 6x12 concrete cylinders | The quantity of what the sample constitutes | 3.58CY in Girder G22 |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | David |
| Last name of sampler or witnessed by | Weeks | Title of sampler | CT METS QA INSPECTOR |
| Telephone number of sampler | 951-258-8382 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | OLDCASTLE PRECAST PERRIS | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Br No 49 0164L | Structure name | N San Miguel UC Widen |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | UV-273 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | 56989 |
| Concrete batch plant | Onsite | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Casting Bed A2 | Where the material sample would have been placed if not sampled | Casting Bed A2 Girder G22 |
| 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: 2017-11-02-1-1 ASTM C39-17a (Verified)