Sample Record
DIME Sample ID 2021-02-23-16
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Project Information
| Project Identifiers | Project ID: 214562 DEA: 040J7104 EFIS: 0414000029 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-1.8/4.4 |
| Award Date | 03/17/2020 |
| Closeout Date | 02/29/2024 |
| Work Description | RAISE BRIDGE AND PLACE STRUCTURAL CONCRETE. |
| Location Description | SOLANO COUNTY IN VALLEJO AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 12/03/2019) |
Owner Lab
- CT D04 - Fairfield Construction Field Office 59-545
Sample Information
| Sample Taken Date | 02/23/2021 | Sample Unique Key | 16 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 05/05/2021 | Sample type | Quality Assurance |
| A brief description of the sample | 6x12 concrete cylinders | The quantity of what the sample constitutes | 4 cylinders |
| From where was the sample collected | Supplier | First name of sampler or witnessed by | Mohan |
| Last name of sampler or witnessed by | Ayadurai | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Syer Lake Herman, Vallejo CA | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | 210855 | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | CT072AC5W |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 81141593 | |
| Concrete batch plant | SYAR Lake Herman | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Load 1 from tailgate | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||