Sample Record
DIME Sample ID 2021-09-21-28
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Project Information
| Project Identifiers | Project ID: 215486 DEA: 040A0204 EFIS: 0400000129 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-15-15.7 |
| Award Date | 05/04/2021 |
| Closeout Date | Not set |
| Work Description | Construct roadway and bridge with structural concrete and CIDH piling |
| Location Description | District-County-Route-Post Mile: 04-Son-1-R15.0/R15.7 |
| QA Service Level | 1 (Verified on 04/08/2022) |
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
Sample Information
| Sample Taken Date | 09/21/2021 | Sample Unique Key | 28 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/29/2021 | Sample type | Quality Assurance |
| A brief description of the sample | 6x12 concrete cylinders | The quantity of what the sample constitutes | 2 cylinders |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Keith |
| Last name of sampler or witnessed by | Iwamoto | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | CEMEX Victorville | |
| Transportation Laboratory (TL) Number | 274751 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | Pier 3 left pile | |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SL4700CG |
|---|---|---|---|
| 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 | 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: 2021-09-21-28-1 ASTM C39-17a (Verified)