Sample Record
Owner Lab
- SCST, LLC
DIME Sample ID 2013-07-03-11347606
Project Information
| Project Identifiers | Project ID: 8127 DEA: 080N5904 EFIS: 0800000533 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R85.2 |
| Award Date | 02/07/2013 |
| Closeout Date | 05/11/2015 |
| Work Description | CONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE |
| Location Description | SAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE |
| QA Service Level | 1 (Verified on 12/10/2012) |
Sample Information
| Sample Taken Date | 07/03/2013 | Sample Unique Key | 11347606 |
|---|---|---|---|
| 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 | 07/04/2013 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylindes |
| The quantity of what the sample constitutes | 4 cylinders | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jared | Last name of sampler or witnessed by | Tietjen |
| Title of sampler | Field Technician | Telephone number of sampler | Not set |
| Laboratory sample identification | Not set | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Hi-Grade Concrete Supplier | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Abutment no. 4 Pile nos. 2 and 3 | |
| Structure name | Abutment no. 4 Pile nos. 2 and 3 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | HG53401R |
|---|---|---|---|
| The truck number from where the sample was collected | 147 | The batch plant ticket number from where the sample was collected | 810473 |
| Concrete batch plant | Not set | The fabricator/manufacturer designation for the sample | Not set |
| A detailed description of where the material sample was collected | Abutment no. 4 Pile nos. 2 and 3 - Full Lift on no. 2 and Half Lift on no. 3 | Where the material sample would have been placed if not sampled | Abutment no. 4 Pile nos. 2 and 3 |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2013-07-03-11347606-1 CTM 504-June 2010 (Verified)
DIME Test ID: 2013-07-03-11347606-2 CTM 556-June 2010 (Verified)
DIME Test ID: 2013-07-03-11347606-3 CTM 521-June 2012 (Verified)
DIME Test ID: 2013-07-03-11347606-4 CTM 521-June 2012 (Verified)
DIME Test ID: 2013-07-03-11347606-5 CTM 521-June 2012 (Verified)
DIME Test ID: 2013-07-03-11347606-6 CTM 521-June 2012 (Verified)
