Sample Record
DIME Sample ID 2023-04-06-7
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 993580 DEA: 020H5704 EFIS: 0215000052 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD-139-R3.5/30.3 |
| Award Date | 11/10/2022 |
| Closeout Date | 05/06/2024 |
| Work Description | MODOC 139 DRAINAGE - DRAINAGE REHABILITATION |
| Location Description | IN MODOC COUNTY AT VARIOUS LOCATIONS FROM 1.2 MILES NORTH OF HOWARDS GULCH BRIDGE TO 0.1 MILE SOUTH OF CLEAR LAKE ROAD. |
| QA Service Level | 1 (Verified on 03/02/2022) |
Owner Lab
- CT HQ - QASI Sacramento Field Office
Sample Information
| Sample Taken Date | 04/06/2023 | Sample Unique Key | 7 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/07/2023 | Sample type | Quality Assurance |
| A brief description of the sample | 4 - 4x8 Cylinders | The quantity of what the sample constitutes | 1.70 CY |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Steve |
| Last name of sampler or witnessed by | Haynes | Title of sampler | QA Inspector |
| Telephone number of sampler | 510-593-1179 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Precast Unlimited | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | PC65A0E1 |
|---|---|---|---|
| The truck number from where the sample was collected | 0034 | The batch plant ticket number from where the sample was collected | 361825 |
| Concrete batch plant | Folsom Ready Mix Anderson CA | The fabricator/manufacturer designation for the sample | JF Shea 4/6 Cast |
| A detailed description of where the material sample was collected | Sample from a wheelbarrow | Where the material sample would have been placed if not sampled | 7 x 3 Box Culvert |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||