Sample Record
Owner Lab
- CT SC - 3672 - Richmond
DIME Sample ID 2023-12-13-33
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214590 DEA: 043G4744 EFIS: 0412000074 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN,MRN-580-6.9/7.8,0.0/2.5 |
| Award Date | 01/14/2021 |
| Closeout Date | 08/19/2024 |
| Work Description | CLEAN AND PAINT STRUCTURAL STEEL BRIDGE. |
| Location Description | CONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET |
| QA Service Level | 1 (Verified on 02/18/2020) |
Sample Information
| Sample Taken Date | 12/13/2023 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 12/20/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 4.5 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Quetzal | Last name of sampler or witnessed by | Cornejo Molina |
| Title of sampler | ASR | Telephone number of sampler | (510) 867-6015 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American Civil Constructors | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 28-0100 | |
| Structure name | Richmond-San Rafael Bridge | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 21005-12 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 2 | The batch plant ticket number from where the sample was collected | Slip 86 |
| Concrete batch plant | VOLUMETRIC TRUCK | The fabricator/manufacturer designation for the sample | Batch |
| A detailed description of where the material sample was collected | collected from chute to Wheel Barrow | Where the material sample would have been placed if not sampled | Pier 55 Expansion Joint |
| 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: 2023-12-13-33-1 ASTM C39-21 (Verified)
DIME Test ID: 2023-12-13-33-2 ASTM C39-21 (Verified)