Sample Record

DIME Sample ID 2019-01-28-14

Project Information

Project IdentifiersProject ID: 213337
DEA: 024F5404
EFIS: 0213000004
DIST-CO-RTE-PM02-SIS-5-R15.3/R16.5
Award Date07/30/2018
Closeout Date05/23/2022
Work DescriptionBRIDGE REPLACEMENT - SOUTHBOUND ONLY
Location DescriptionSISKIYOU COUNTY NEAR WEED FROM 0.1 MILE SOUTH OF DEETZ ROAD UNDERCROSSING TO 0.6 MILE NORTH OF BLACK BUTTE OVERHEAD 02-0004L
QA Service Level1 (Verified on 11/14/2018)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date01/28/2019 Sample Unique Key14
Date that the sample was received by the laboratory/organization performing the testing01/29/2019 Sample typeInformational
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes2
From where was the sample collectedFabricator First name of sampler or witnessed byStacey
Last name of sampler or witnessed byDavis Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameKieCon
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifierUnknown Structure nameUnknown
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberK556554522
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedUNK
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedfabricator 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
2019-01-28-14-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensWilliam Sommer, CT HQ - Vallejo Field Laboratory02/25/2019
No

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-01-28-14-1 ASTM C39-17a