Sample Record

DIME Sample ID 2018-07-13-11

Project Information

Project IdentifiersProject ID: 212247
DEA: 010G8004
MINOR: 01A1727
DIST-CO-RTE-PM01-MEN-1-78.0/83.5, 77.0/83.5
Award Date01/11/2017
Closeout Date04/12/2021
Work DescriptionMajor Damage Restoration
Location DescriptionIn Mendocino County near West port from 0.3 mile south of Wages Creek Bridge #10-137 to Solider Point Viaduct #10-271
QA Service Level1 (Verified on 03/21/2017)

Owner Lab

  • CT D01 - District 1 Materials Laboratory

Sample Information

Sample Taken Date07/13/2018 Sample Unique Key11
Date that the sample was received by the laboratory/organization performing the testing08/15/2018 Sample typeQuality Assurance
A brief description of the sampleConcrete 6 x 12 Cylinders The quantity of what the sample constitutesOne Day of Concrete Pour
From where was the sample collectedJob Site First name of sampler or witnessed bys
Last name of sampler or witnessed bysami Title of samplerASR
Telephone number of samplerUnknown Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameunknown
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierUnknown Structure nameUnknown
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numbernot available
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected01
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedchute Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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