Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-04-12-6
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Project Information
| Project Identifiers | Project ID: 212743 DEA: 030H26U4 EFIS: 0317000247 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-65-R5.0/R6.6 |
| Award Date | 02/14/2018 |
| Closeout Date | 10/21/2022 |
| Work Description | NORTHBOUND WIDENING AND RAMP IMPROVEMENTS. |
| Location Description | PLACER COUNTY IN AND NEAR ROSEVILLE AND ROCKLIN FROM 0.1 MILE SOUTH OF EAST ROSEVILLE VIADUCT TO 0.5 MILE SOUTH OF PLEASANT GROVE BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 12/18/2017) |
Sample Information
| Sample Taken Date | 04/12/2019 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 04/15/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | two cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | E | Last name of sampler or witnessed by | Durray |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Unknown | |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 1604381 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 0000000000 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Job site | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-04-12-6-1 ASTM C39-17a (Verified)