Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-01-11-9
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Project Information
| Project Identifiers | Project ID: 215266 DEA: 041W6304 EFIS: 0421000061 |
|---|---|
| DIST-CO-RTE-PM | 04-SON,NAP SON-12,29 12-33.5-48.519.3 - 25.8, 33.5-48.519.3-25.8 |
| Award Date | 09/29/2020 |
| Closeout Date | 10/26/2022 |
| Work Description | Glass Fire-Fire damaged emergency repair project |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/09/2020) |
Sample Information
| Sample Taken Date | 01/11/2021 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 01/15/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | B | Last name of sampler or witnessed by | Nou |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | 120793 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 590CL2 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 00000000000000000 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Chute | 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: 2021-01-11-9-1 ASTM C39-17a (Verified)