Sample Record
Owner Labs
- CT HQ - Sacramento Structural Materials Testing Laboratory
- CT D04 - Oakland (YBITS2) Field Laboratory
DIME Sample ID 2015-05-22-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 7285 DEA: 040120T4 EFIS: 0400000027 |
|---|---|
| DIST-CO-RTE-PM | 04-SF-80-12.6/13.9 |
| Award Date | 11/27/2012 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT BRIDGE, ROADWAYS, ELECTRICAL, BUILDINGS AND REMOVE BRIDGES |
| Location Description | THE CITY AND COUNTY OF SAN FRANCISCO FROM THE YERBA BUENA TUNNEL TO 1.3 KM EAST OF THE YERBA BUENA TUNNEL |
| QA Service Level | 1 (Verified on 10/29/2012) |
Sample Information
| Sample Taken Date | 05/22/2015 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Department Acceptance | A brief description of the sample | Stem and Soffit W8 to W10 |
| The quantity of what the sample constitutes | 359 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brandon Young | Last name of sampler or witnessed by | Young |
| Title of sampler | ASR | Telephone number of sampler | 510 858 7727 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Central Concrete | 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 | D101C5E1 |
|---|---|---|---|
| The truck number from where the sample was collected | 6 | The batch plant ticket number from where the sample was collected | 18025052 |
| Concrete batch plant | Peralta | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Near W10 | Where the material sample would have been placed if not sampled | |
| 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. | |||