Sample Record
Owner Lab
- CT SC - 3672 - Richmond
DIME Sample ID 2018-08-03-17
Project Information
| Project Identifiers | Project ID: 212351 DEA: 040P1304 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-1-11.5, 11.50, 11.5, 12 |
| Award Date | 06/09/2017 |
| Closeout Date | 09/24/2018 |
| Work Description | Construct Soldier Pile Wall with Tiebacks |
| Location Description | Route 1 PM 11.5 |
| QA Service Level | 1 (Verified on 07/24/2017) |
Sample Information
| Sample Taken Date | 08/03/2018 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 08/10/2018 |
| Sample type | Quality Control | A brief description of the sample | 6x12 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 | Hla | Last name of sampler or witnessed by | KYI |
| Title of sampler | TE Civil | Telephone number of sampler | (415)260-7911 |
| Laboratory sample identification | 212351 | Linked DIME Sample ID | 212351 |
| The fabricator/manufacturer/facility name | Shamrock | Transportation Laboratory (TL) Number | TL-0502 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | TL-0502 | Structure unique identifier | 27E0074 |
| Structure name | Construct Soldier Pile Wall with Tiebacks | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 3172GG |
|---|---|---|---|
| The truck number from where the sample was collected | 1439 | The batch plant ticket number from where the sample was collected | 466645 |
| Concrete batch plant | Shamrock Materials | The fabricator/manufacturer designation for the sample | Shamrock |
| A detailed description of where the material sample was collected | from chute | Where the material sample would have been placed if not sampled | RW2 Tier 4 |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
