Sample Record
Owner Lab
- Con-Fab California Corporation - Lathrop
DIME Sample ID 2020-06-18-4
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Project Information
| Project Identifiers | Project ID: 214422 DEA: 040J6424 EFIS: 0414000476 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-32.8/R54.2 |
| Award Date | 12/24/2019 |
| Closeout Date | Not set |
| Work Description | CRACK, SEAT AND OVERLAY WITH RHMA AND HMA, AND REPLACE CULVERTS. |
| Location Description | SONOMA COUNTY AT VARIOUS LOCATIONS FROM LIMERICK LANE OVERCROSSING TO ROUTE 101/128 SEPARATION |
| QA Service Level | 1 (Verified on 09/23/2019) |
Sample Information
| Sample Taken Date | 06/18/2020 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 06/19/2020 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 6x12 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mark Patrick | Last name of sampler or witnessed by | Baddu |
| Title of sampler | QC Inspector | Telephone number of sampler | |
| Laboratory sample identification | 6-18-20-B4 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Con-Fab California, LLC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | State Route 101 |
Material Information
| Material Type | Concrete | The concrete mix design number | VER-85LV |
|---|---|---|---|
| The truck number from where the sample was collected | 4th | The batch plant ticket number from where the sample was collected | 169 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Bed 4, 4th Truck | Where the material sample would have been placed if not sampled | Casting Bed |
| 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: 2020-06-18-4-1 ASTM C39-10 (Verified)