Sample Record
Owner Lab
- Rinker Materials
DIME Sample ID 2020-07-27-4
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Project Information
| Project Identifiers | Project ID: 214581 DEA: 010E7304 EFIS: 0115000004 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-29-17.7/20.7 |
| Award Date | 02/05/2020 |
| Closeout Date | 09/23/2021 |
| Work Description | ROADWAY EXCAVATION, PLACE RHMA AND HMA(TYPE A). |
| Location Description | LAKE COUNTY AT LOWER LAKE AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF C STREET TO 0.1 MILE NORTH OF BELL PARK AVENUE |
| QA Service Level | 1 (Verified on 01/02/2020) |
Sample Information
| Sample Taken Date | 07/27/2020 | 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 | 07/28/2020 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 1 days production | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Wilfredo | Last name of sampler or witnessed by | Bucaneg |
| Title of sampler | QC Inspector | Telephone number of sampler | 916-716-3405 |
| Laboratory sample identification | 7-27 a and b | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Forterra Pipe and Precast Florin Rd | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 17-0000 | |
| Structure name | Route 29 Lower Lake | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 5H |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | Forterra Pipe and Precast | The fabricator/manufacturer designation for the sample | Batch |
| A detailed description of where the material sample was collected | conveyor belt | Where the material sample would have been placed if not sampled | Box Culvert |
| 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: 2020-07-27-4-1 ASTM C39-17a (Verified)