Sample Record
Owner Lab
- Con-Fab California Corporation - Lathrop
DIME Sample ID 2020-07-15-24
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Project Information
| Project Identifiers | Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-5-9.7/24.9 |
| Award Date | 05/01/2019 |
| Closeout Date | 02/22/2024 |
| Work Description | Not set |
| Location Description | Construction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct |
| QA Service Level | 1 (Verified on 07/19/2019) |
Sample Information
| Sample Taken Date | 07/15/2020 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 07/16/2020 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 6x12 Concrete Cylinders | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Mark Patrick | Last name of sampler or witnessed by | Baddu |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 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 | Beach Lake Bridge |
Material Information
| Material Type | Concrete | The concrete mix design number | VER-75LV |
|---|---|---|---|
| The truck number from where the sample was collected | 1st | The batch plant ticket number from where the sample was collected | 1938 |
| Concrete batch plant | BP1 | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | 1st Truck, Bed 6 | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-15-24-1 ASTM C39-10 (Verified)