Sample Record
Owner Lab
- CT SC - 3676 - 106
DIME Sample ID 2019-12-27-8
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Project Information
| Project Identifiers | Project ID: 213702 DEA: 041G4304 EFIS: 0412000126 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-128-R7.4 |
| Award Date | 03/29/2019 |
| Closeout Date | 12/08/2022 |
| Work Description | REPLACE BRIDGE, HMA PAVING, DRAINAGE AND RSP |
| Location Description | NAPA COUNTY NEAR SAINT HELENA AT CONN CREEK |
| QA Service Level | 1 (Verified on 07/29/2019) |
Sample Information
| Sample Taken Date | 12/27/2019 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 12/30/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | NANA | Last name of sampler or witnessed by | BUDU |
| Title of sampler | Unknown | Telephone number of sampler | 510-867-4517 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Harold Smith and Sons | Transportation Laboratory (TL) Number | 28 - Napa |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 21-0115 |
| Structure name | Conn Creek Bridge Deck Stage 1 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | CT1 15 |
|---|---|---|---|
| The truck number from where the sample was collected | 1129 | The batch plant ticket number from where the sample was collected | 158843 |
| Concrete batch plant | Harold Smith St Helena | The fabricator/manufacturer designation for the sample | Harold Smith |
| A detailed description of where the material sample was collected | Back of Truck | 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: 2019-12-27-8-1 ASTM C39-10 (Verified)