Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-07-11-68
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994812 DEA: 042K7204 EFIS: 0417000014 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-4-R14.3/24.3 |
| Award Date | 03/23/2023 |
| Closeout Date | 10/06/2025 |
| Work Description | Pvmt rehabilitation, slab repl, ADA curb ramp and install guardrail. |
| Location Description | On state highway in Contra Costa County in and near Concord and Pittsburg from 0.3 miles east of Peralta Road Undercrossing to Loveridge Road Overcrossing. |
| QA Service Level | 1 (Verified on 05/10/2023) |
Sample Information
| Sample Taken Date | 07/11/2023 | Sample Unique Key | 68 |
|---|---|---|---|
| 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 | 07/14/2023 |
| Sample type | Quality Assurance | A brief description of the sample | PCC Beams |
| The quantity of what the sample constitutes | 3 beams | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | CT Inspector | Last name of sampler or witnessed by | CT Inspector |
| Title of sampler | ContractorG3 | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vanguard / G3 | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | HWY 4 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | HE4X4BM |
|---|---|---|---|
| The truck number from where the sample was collected | 0000 | The batch plant ticket number from where the sample was collected | 0000 |
| Concrete batch plant | Vanguard | The fabricator/manufacturer designation for the sample | 0 |
| A detailed description of where the material sample was collected | Concrete Truck | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-07-11-68-6 CTM 524-March 2013 (Verified)