Sample Record

DIME Sample ID 2015-04-21-12

Project Information

Project IdentifiersProject ID: 209704
DEA: 100W1904
EFIS: 1000020456
DIST-CO-RTE-PM10-SJ-99-22.9/38.8
Award Date12/19/2014
Closeout Date01/23/2017
Work DescriptionPAVEMENT RESURFACING
Location DescriptionSAN JOAQUIN COUNTY IN AND NEAR LODI FROM HAMMER LANE OVERCROSSING TO SACRAMENTO COUNTY LINE
QA Service Level1 (Verified on 08/07/2014)

Owner Lab

  • CT D03 - Sacramento Sanders Structures Construction Field Office

Sample Information

Sample Taken Date04/21/2015 Sample Unique Key12
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample6x12 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 byAlfredo
Last name of sampler or witnessed byCarranza Title of samplerSR
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameOn site
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 number628411A
The truck number from where the sample was collected395 The batch plant ticket number from where the sample was collected71726
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedfrom end of pump 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 TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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