Sample Record

DIME Sample ID 2020-04-24-17

Project Information

Project IdentifiersProject ID: 213410
DEA: 024C1504
EFIS: 0213000132
DIST-CO-RTE-PM02-SIS-96-23.4/54.5
Award Date06/12/2019
Closeout Date01/04/2021
Work DescriptionAPC, BOX CULVERTS, CONCRETE HEADWALLS, AND JACKED WELDED STEEL PIPE.
Location DescriptionSISKIYOU COUNTY AT AND NEAR HAPPY CAMP AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF SWILLUP CREEK BRIDGE TO 3.6 MILES EAST OF THOMPSON CREEK BRIDGE
QA Service Level1 (Verified on 01/08/2019)

Owner Lab

  • Rinker Materials

Sample Information

Sample Taken Date04/24/2020 Sample Unique Key17
Date that the sample was received by the laboratory/organization performing the testing04/27/2020 Sample typeQuality Control
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes8
From where was the sample collectedFabricator First name of sampler or witnessed byJoe
Last name of sampler or witnessed byBuckley Title of samplerQC Supervisor
Telephone number of sampler916-716-3405 Laboratory sample identification02-4C1504
Linked DIME Sample IDNONE The fabricator/manufacturer/facility nameForterra Sacramento
Transportation Laboratory (TL) NumberNone Inspector Lot Number from the Transportation Laboratory (TL) FormNone
Structure unique identifier47-SIS Structure nameHappy Camp
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number13 special
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collected23
Concrete batch plantBesser The fabricator/manufacturer designation for the sample4-24-20
A detailed description of where the material sample was collectedconcrete sample from wheel barrow Where the material sample would have been placed if not sampledRCBC
From Lot No.NA Bag Lot No.NA

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments