Sample Record
Owner Lab
- Con-Fab California, LLC
DIME Sample ID 2021-10-13-13
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-4.4/R7.7 |
| Award Date | 03/01/2021 |
| Closeout Date | Not set |
| Work Description | Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B. |
| Location Description | 101 freeway in Summerland, CA |
| QA Service Level | 1 (Verified on 05/06/2021) |
Sample Information
| Sample Taken Date | 10/13/2021 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 10/13/2021 |
| Sample type | Quality Control | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | One box girder | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Roberto | Last name of sampler or witnessed by | Reyes |
| Title of sampler | QC Technician | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | 2021-10-13-1 | |
| The fabricator/manufacturer/facility name | Con-Fab California, LLC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 51-0364 | |
| Structure name | Arroyo Paredon Creek Bridge | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SCC-S95-0F |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1826 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| 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 | box girders |
| 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: 2021-10-13-13-1 ASTM C1064-17 (Verified)
DIME Test ID: 2021-10-13-13-2 ASTM C138-17a (Verified)
DIME Test ID: 2021-10-13-13-3 ASTM C39-21 (Verified)
DIME Test ID: 2021-10-13-13-4 CTM TEMP1-16 (Verified)
DIME Test ID: 2021-10-13-13-5 ASTM C231-17a (Verified)
DIME Test ID: 2021-10-13-13-6 ASTM C143-20 (Verified)
DIME Test ID: 2021-10-13-13-7 ASTM C39-21 (Verified)
