Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-02-12-9
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Project Information
| Project Identifiers | Project ID: 215043 DEA: 041W2104 EFIS: 0420000347 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA,ALA-880-14.5, 14.54 |
| Award Date | 06/05/2020 |
| Closeout Date | 08/09/2021 |
| Work Description | Repair concrete girder, deck, barrier rail |
| Location Description | Industrial Blvd OC, NB 880 (bridge 33-0398) |
| QA Service Level | 1 (Verified on 06/25/2020) |
Sample Information
| Sample Taken Date | 02/12/2021 | 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 | 02/16/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 10 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Clint | Last name of sampler or witnessed by | Williams |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | 195992 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | D101C5RS |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 00000000000000 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Truck | 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: 2021-02-12-9-1 ASTM C39-17a (Verified)
DIME Test ID: 2021-02-12-9-2 ASTM C39-17a (Verified)
DIME Test ID: 2021-02-12-9-3 ASTM C39-17a (Verified)
DIME Test ID: 2021-02-12-9-4 ASTM C39-17a (Verified)
DIME Test ID: 2021-02-12-9-5 ASTM C39-17a (Verified)