Sample Record

DIME Sample ID 2019-10-11-9

Project Information

Project IdentifiersProject ID: 213702
DEA: 041G4304
EFIS: 0412000126
DIST-CO-RTE-PM04-NAP-128-R7.4
Award Date03/29/2019
Closeout Date12/08/2022
Work DescriptionREPLACE BRIDGE, HMA PAVING, DRAINAGE AND RSP
Location DescriptionNAPA COUNTY NEAR SAINT HELENA AT CONN CREEK
QA Service Level1 (Verified on 07/29/2019)

Owner Lab

  • CT SC - 3676 - 106

Sample Information

Sample Taken Date10/11/2019 Sample Unique Key9
Date that the sample was received by the laboratory/organization performing the testing10/17/2019 Sample typeQuality Assurance
A brief description of the sample4x8 concrete cylinders The quantity of what the sample constitutes11 Cylinders
From where was the sample collectedJob Site First name of sampler or witnessed byNANA
Last name of sampler or witnessed byBUDU Title of samplerUnknown
Telephone number of sampler510-867-4517 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameHarold Smith and Sons
Transportation Laboratory (TL) Number28 - Napa Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifier21-0115 Structure nameConn Creek Bridge Pier 2 Stage 1 Columns
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberCT 1
The truck number from where the sample was collected120 The batch plant ticket number from where the sample was collected157269
Concrete batch plantHarold Smith St Helena The fabricator/manufacturer designation for the sampleHarold Smith
A detailed description of where the material sample was collectedBack of Truck 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
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