Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-06-21-13
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Project Information
| Project Identifiers | Project ID: 213561 DEA: 042J0004 EFIS: 0414000412 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-4-R16.4/R17.4;R19.5/R20.7 |
| Award Date | 11/30/2018 |
| Closeout Date | 07/23/2020 |
| Work Description | INSTALL FREEWAY LIGHTING AND PLACE HIGH VISIBILITY TRAFFIC STRIPES. |
| Location Description | CONTRA COSTA COUNTY IN AND NEAR PITTSBURG FROM 0.4 MILE WEST TO 0.6 MILE EAST OF WILLOW PASS ROAD UNDERCROSSING AND FROM 0.6 MILE WEST TO 0.6 MILE EAST OF BAILEY ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/10/2018) |
Sample Information
| Sample Taken Date | 06/21/2019 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 07/17/2019 |
| 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 | sam | Last name of sampler or witnessed by | skeen |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Collected at jobsite | Transportation Laboratory (TL) Number | 125665 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 1596419 |
|---|---|---|---|
| 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 | Jobsite | 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: 2019-06-21-13-1 ASTM C39-17a (Verified)