Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2014-10-24-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 7826 DEA: 040A1854 EFIS: 0400020652 COOP: 042363 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-7.1/8.1 |
| Award Date | 02/12/2013 |
| Closeout Date | 01/03/2017 |
| Work Description | RECONSTRUCT INTERCHANGE |
| Location Description | SONOMA COUNTY IN PETALUMA FROM 0.6 MILE SOUTH TO 0.4 MILE NORTH OF OLD REDWOOD HIGHWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 12/10/2012) |
Sample Information
| Sample Taken Date | 10/24/2014 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | 10/24/2014 |
| Sample type | Verification | A brief description of the sample | 2 cylinder of concrete |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Mullins |
| Title of sampler | Field Technician | Telephone number of sampler | 916-227-7102 |
| Laboratory sample identification | Sacramento | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Petaluma | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 13546546132 |
|---|---|---|---|
| The truck number from where the sample was collected | 46 | The batch plant ticket number from where the sample was collected | 01469 |
| Concrete batch plant | 023 | The fabricator/manufacturer designation for the sample | Michael Mullins |
| A detailed description of where the material sample was collected | Sample collected prior to placement | Where the material sample would have been placed if not sampled | Not set |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||