Sample Record

DIME Sample ID 2015-02-03-1

Project Information

Project IdentifiersProject ID: 209059
DEA: 033E1004
EFIS: 0300000473
DIST-CO-RTE-PM03-PLA-80-8.1/37.8
Award Date01/28/2014
Closeout Date01/23/2017
Work DescriptionIMPROVING VERTICAL CLEARANCE
Location DescriptionPLACER COUNTY IN AND NEAR LOOMIS, PENRYN, NEWCASTLE, WEIMAR, AND MAGRA FROM 0.1 MILE WEST OF BRACE ROAD OVERCROSSING TO 0.1 MILE EAST OF MAGRA OVERCROSSING
QA Service Level1 (Verified on 01/15/2014)

Owner Lab

  • CT D03 - Sacramento Sanders Structures Construction Field Office

Sample Information

Sample Taken Date02/03/2015 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample2 6x12 concrete cylinders The quantity of what the sample constitutes2 6x12 concrete cylinders
From where was the sample collectedJob Site First name of sampler or witnessed byBrandon
Last name of sampler or witnessed byMiller Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameTeichert
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberJ7A8543CC
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected2
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedTruck Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

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