Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-02-19-1

Project Information

Project IdentifiersProject ID: 215003
DEA: 040J6204
EFIS: 0414000019
DIST-CO-RTE-PM04-ALA-680-12.4/21.9
Award Date04/12/2022
Closeout DateNot set
Work DescriptionREHABILITATE PAVEMENT - RPL APP/DEP SLABS, 14 BRIDGES
Location DescriptionALAMEDA COUNTY AT SUNOL AND IN PLEASANTON AND DUBLIN FROM KOOPMANN ROAD UNDERCROSSING TO ALAMEDA COUNTY LINE
QA Service Level1 (Verified on 10/19/2020)

Sample Information

Sample Taken Date02/19/2023 Sample Unique Key1
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 testing02/19/2023
Sample typeQuality Assurance A brief description of the sampleRSC
The quantity of what the sample constitutes37 From where was the sample collectedManufacturer
First name of sampler or witnessed byCharles Last name of sampler or witnessed byPoolis
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving company 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 numberG3-22-PRS-319
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedLD10
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedLOADER Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Test File Attachments