Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2018-05-09-10
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 212680 DEA: 024F5504 EFIS: 0213000005 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-89-20.9 - 21.2 |
| Award Date | 11/14/2017 |
| Closeout Date | 05/15/2019 |
| Work Description | BRIDGE REPLACEMENT WITH PRE-CAST I-GIRDER AND RECONSTRUCT HIGHWAY |
| Location Description | SISKIYOU COUNTY NEAR MCCLOUD FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF MUD CREEK BRIDGE |
| QA Service Level | 1 (Verified on 02/12/2018) |
Sample Information
| Sample Taken Date | 05/09/2018 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 05/11/2018 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinder 6 x 12 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | stacey | Last name of sampler or witnessed by | davis |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | kiecon | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | k5565545R1 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | unk |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | fabricator | 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 | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2018-05-09-10-1 | ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | William Sommer, CT HQ - Vallejo Field Laboratory | 06/06/2018 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-05-09-10-1 ASTM C39-17a