Sample Record
Owner Labs
- CT SC - 3674 - Pacifica 2
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-03-13-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994367 DEA: 044J8704 EFIS: 0416000029 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-1-14.0 |
| Award Date | 03/06/2023 |
| Closeout Date | 11/25/2024 |
| Work Description | Replace bridge concrete barrier rails and methacrylate in deck slabs. |
| Location Description | On State Highway in San Mateo County at the Pescadero Creek Bridge. |
| QA Service Level | 1 (Verified on 04/05/2023) |
Sample Information
| Sample Taken Date | 03/13/2024 | 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 | 03/14/2024 |
| Sample type | Quality Assurance | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | 3 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Hung | Last name of sampler or witnessed by | Ngo |
| Title of sampler | Telephone number of sampler | 5104069696 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granitrock | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 35-0028 | |
| Structure name | Pescadero Creek Bridge | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 57S750E8 |
|---|---|---|---|
| The truck number from where the sample was collected | 2419 | The batch plant ticket number from where the sample was collected | 121942 |
| Concrete batch plant | Graniterock Santa Cruz | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | SAMPLE FROM WHEELBARROW | 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: 2024-03-13-2-1 ASTM C39-17a (Verified)
DIME Test ID: 2024-03-13-2-2 ASTM C39-17a (Verified)
DIME Test ID: 2024-03-13-2-4 ASTM C39-17a (Verified)
DIME Test ID: 2024-03-13-2-5 ASTM C39-17a (Verified)