Sample Record
Owner Lab
- Precast Unlimited Inc.
DIME Sample ID 2021-06-17-47
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Project Information
| Project Identifiers | Project ID: 215126 DEA: 010G33U4 EFIS: 0120000002 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-20-5.1/6.3 |
| Award Date | 11/19/2020 |
| Closeout Date | 10/07/2022 |
| Work Description | Widen shoulders and replace bridge with box culvert. |
| Location Description | LAKE COUNTY NEAR UPPER LAKE FROM 0.4 MILE WEST OF WITTER SPRINGS ROAD TO 0.4 MILE EAST OF BACHELOR CREEK BRIDGE |
| QA Service Level | 1 (Verified on 08/26/2020) |
Sample Information
| Sample Taken Date | 06/17/2021 | Sample Unique Key | 47 |
|---|---|---|---|
| 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 | 06/17/2021 |
| Sample type | Quality Control | A brief description of the sample | conc. cylinder |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Dan | Last name of sampler or witnessed by | Weippert |
| Title of sampler | QC Manager | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Universal Precast Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | PC65A0E2 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 000170 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | back of 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: 2021-06-17-47-1 ASTM C39-21 (Verified)