Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-10-13-24
Project Information
Project Identifiers | Project ID: 993666 DEA: 101J3104 EFIS: 1018000111 |
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DIST-CO-RTE-PM | 10-AMA-88-46.5,54.0 |
Award Date | 05/20/2022 |
Closeout Date | 05/10/2023 |
Work Description | REHABILITATE SAND HOUSE BUILDINGS. |
Location Description | AMADOR COUNTY ABOUT 15 MILES NORTHEAST OF BUCKHORN AT THE MUD SPRINGS SAND HOUSE FACILITY AND THE PEDDLER HILL MAINTENANCE STATION |
QA Service Level | 1 (Verified on 03/29/2022) |
Sample Information
Sample Taken Date | 10/13/2022 | Sample Unique Key | 24 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 10/14/2022 |
Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 6 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Igor | Last name of sampler or witnessed by | Voznyuk |
Title of sampler | Structure Representative | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Sika Corporation | Transportation Laboratory (TL) Number | 204474 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | Unknown |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Mixer | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-10-13-24-1 ASTM C39-17a (Verified)
DIME Test ID: 2022-10-13-24-2 ASTM C39-17a (Verified)