Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-06-13-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214795 DEA: 030H3424 EFIS: 0317000153 |
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DIST-CO-RTE-PM | 03-SAC-99-22.6 |
Award Date | 11/13/2020 |
Closeout Date | 03/03/2022 |
Work Description | REPLACE BRIDGE DECK WITH PRESTRESSED CONCRETE BOX GIRDER. |
Location Description | SACRAMENTO COUNTY IN SACRAMENTO AT 21ST AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 03/12/2020) |
Sample Information
Sample Taken Date | 06/13/2021 | Sample Unique Key | 1 |
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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 | 06/14/2021 |
Sample type | Quality Assurance | A brief description of the sample | 3x6 concrete cylinders |
The quantity of what the sample constitutes | 11 Cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Don | Last name of sampler or witnessed by | Adams |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | 007 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | 21st Avenue UC |
Material Information
Material Type | Concrete | The concrete mix design number | Unknown |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Unknown | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2021-06-13-1-1 ASTM C39-17a (Verified)
DIME Test ID: 2021-06-13-1-2 ASTM C39-17a (Verified)