Sample Record
Owner Labs
- CT SC - 3672 - Richmond
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-10-17-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994626 DEA: 043W9304 EFIS: 0422000087 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-80-5.7/6.0 |
| Award Date | 02/24/2023 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/11/2023) |
Sample Information
| Sample Taken Date | 10/17/2023 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 10/24/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 cylinders |
| The quantity of what the sample constitutes | 4CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jingan | Last name of sampler or witnessed by | Chen |
| Title of sampler | ASR | Telephone number of sampler | 510-506-3387 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CEMEX | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 1622197 |
|---|---|---|---|
| The truck number from where the sample was collected | 10064523 | The batch plant ticket number from where the sample was collected | 30975677 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete truck chute | Where the material sample would have been placed if not sampled | Sign monument foundation |
| 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: 2023-10-17-2-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-10-17-2-2 ASTM C39-17a (Verified)
DIME Test ID: 2023-10-17-2-3 ASTM C39-17a (Verified)