Sample Record

Owner Lab

  • CT D04 - Oakland (YBITS2) Field Laboratory

DIME Sample ID 2014-10-22-3

Project Information

Project IdentifiersProject ID: 2241
DEA: 043A6404
EFIS: 0400020507
COOP: 042383A
DIST-CO-RTE-PM04-SF-80-12.3/13.2
Award DateNot set
Closeout Date02/10/2021
Work DescriptionPhase 1: Replace connector ramps on the east side of Yerba Buena Island
Location DescriptionPhase 1: YBI to the State owned San Francisco-Oakland Bay Bridge (SFOBB) on Interstate Route 80
QA Service Level2 (Verified on 02/03/2020)

Sample Information

Sample Taken Date10/22/2014 Sample Unique Key3
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeDepartment Acceptance A brief description of the sampleGrout Cubes for flap jack
The quantity of what the sample constitutes3 From where was the sample collectedOther
First name of sampler or witnessed byBrandon Last name of sampler or witnessed byYoung
Title of samplerTransportation Engineer Telephone number of sampler510 858 7727
Laboratory sample identification Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameQuikrete Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberQuikrete
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNone
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedNear Bent 40S Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments