Sample Record
DIME Sample ID 2015-02-27-3
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Project Information
| Project Identifiers | Project ID: 209135 DEA: 04235844 EFIS: 0400000684 COOP: 042493 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-16.3/17.06 |
| Award Date | 06/25/2014 |
| Closeout Date | 12/17/2019 |
| Work Description | RECONSTRUCT OVERCROSSING, RETAINING WALLS, GROUND IMPROVEMENT, |
| Location Description | BURLINGAME |
| QA Service Level | 1 (Verified on 10/03/2013) |
Owner Lab
- CT HQ - QASI Bay Area Field Office
Sample Information
| Sample Taken Date | 02/27/2015 | Sample Unique Key | 3 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 03/02/2015 | Sample type | Informational |
| A brief description of the sample | 6x12 cylinders | The quantity of what the sample constitutes | 2 |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Justin |
| Last name of sampler or witnessed by | Palmaymesa | Title of sampler | Unknown |
| Telephone number of sampler | Unknown | Laboratory sample identification | Unknown |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | Kiecon |
| Transportation Laboratory (TL) Number | 192454 | Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown |
| Structure unique identifier | Unknown | Structure name | Wide Flange Girder |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | K6080605 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 64340 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Kiecon | 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 | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||