Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2023-01-27-39
Project Information
| Project Identifiers | Project ID: 994464 DEA: 042Y8804 EFIS: 0423000169 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-12-15.382/15.382 |
| Award Date | 01/11/2023 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 01/17/2023) |
Sample Information
| Sample Taken Date | 01/27/2023 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 03/21/2023 |
| Sample type | Department Acceptance | A brief description of the sample | Rapid Strength Concrete Type III |
| The quantity of what the sample constitutes | 36 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Lauren | Last name of sampler or witnessed by | Lau |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | 5103939262 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ghilotti Brothers | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 20-0203R/L | |
| Structure name | Hwy 12, Dutton Bridge, Approach Slab Northeast, Lane 1 | Bid Item | Not set |
Material Information
| Material Type | Concrete Core | Detail description | Two core cylinders are three inch in diameter and about eleven inches tall |
|---|---|---|---|
| Structure names | Dutton bridge approach slab | Type of material | Rapid strength concrete Type III |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-01-27-39-1 ASTM C42-13 (Verified)
