Sample Record
Owner Labs
- CT SC - 3676 - 106
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-04-19-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212244 DEA: 044G8404 EFIS: 0413000051 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-128-20.1/20.4 |
| Award Date | 02/19/2019 |
| Closeout Date | 06/27/2023 |
| Work Description | REPLACE CAPELL CREEK BRIDGE |
| Location Description | NAPA COUNTY ABOUT 15 MILES EAST OF RUTHERFORD FROM 1.1 MILES EAST OF KNOXVILLE ROAD TO 0.3 MILE WEST OF CAPELL VALLEY CREST |
| QA Service Level | 1 (Verified on 05/20/2017) |
Sample Information
| Sample Taken Date | 04/19/2021 | 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 | 04/21/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 3 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | NANA | Last name of sampler or witnessed by | Budu |
| Title of sampler | Unknown | Telephone number of sampler | 510-867-4517 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Harold Smith and Sons | Transportation Laboratory (TL) Number | 28 - Napa |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 21-0115 |
| Structure name | Approach Slab TYPE N-30 Modified Abut 4 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | CT1 P15 No Fiber |
|---|---|---|---|
| The truck number from where the sample was collected | 1129 | The batch plant ticket number from where the sample was collected | 166985 |
| Concrete batch plant | Harold Smith and Sons | The fabricator/manufacturer designation for the sample | Harold Smith |
| A detailed description of where the material sample was collected | Back of truck discharge 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: 2021-04-19-5-1 ASTM C39-17a (Verified)