Sample Record
Owner Labs
- CT SC - 3667 - Chico
- CT D03 - Chico Field Laboratory
DIME Sample ID 2024-04-15-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994997 DEA: 030H1614 EFIS: 0323000025 |
|---|---|
| DIST-CO-RTE-PM | 03-YUB-70-14.8/15.7 |
| Award Date | 07/18/2023 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 07/20/2023) |
Sample Information
| Sample Taken Date | 04/15/2024 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 04/17/2024 |
| Sample type | Quality Assurance | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | Discharge Structure Walls and Tops | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Devon | Last name of sampler or witnessed by | Spina |
| Title of sampler | Telephone number of sampler | 5308458545 | |
| 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 | 1615453 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 31164241 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete 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: 2024-04-15-19-1 ASTM C39-18 (Verified)