Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2020-07-09-5
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Project Information
| Project Identifiers | Project ID: 214449 DEA: 030H3414 EFIS: 0317000152 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-R28.5/R29.1,R31.2 |
| Award Date | 12/09/2019 |
| Closeout Date | 07/06/2021 |
| Work Description | REPLACE BRIDGE, RESTORE CULVERTS, AND ADD HIGHWAY PLANTING. |
| Location Description | EL DORADO COUNTY NEAR POLLOCK PINES FROM 0.3 MILE WEST TO 0.3 MILE EAST OF RIDGEWAY DRIVE UNDERCROSSING AND AT 0.1 MILE WEST OF SLY PARK ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
| Sample Taken Date | 07/09/2020 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 07/09/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | two cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | I | Last name of sampler or witnessed by | Voznyuk |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Collected at jobsite | Transportation Laboratory (TL) Number | 174009 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | CTO72CR5WA |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 0000000000 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | APPRACH SLAB ABUT 1 | 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: 2020-07-09-5-1 ASTM C39-17a (Verified)