Sample Record
DIME Sample ID 2016-08-30-5
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 210814 DEA: 041J3204 EFIS: 0414000190 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116-13.7 |
| Award Date | 03/08/2016 |
| Closeout Date | 12/19/2017 |
| Work Description | REPLACE RETAINING WALL, DRAINAGE, AND HMA RESURFACING. |
| Location Description | REPLACE RETAINING WALL, DRAINAGE, AND HMA RESURFACING. |
| QA Service Level | 1 (Verified on 09/18/2015) |
Owner Lab
- CT SC - 3676 - 106
Sample Information
| Sample Taken Date | 08/30/2016 | Sample Unique Key | 5 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/07/2016 | Sample type | Department Acceptance |
| A brief description of the sample | 6x12 concrete cylinders | The quantity of what the sample constitutes | 23.5 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Pamela |
| Last name of sampler or witnessed by | Gagnier | Title of sampler | TE |
| Telephone number of sampler | 707-694-4751 | Laboratory sample identification | Unknown |
| Linked DIME Sample ID | 01-07-1/2,2/2-424 | The fabricator/manufacturer/facility name | Canyon Rock Co Inc |
| Transportation Laboratory (TL) Number | Unknown | Inspector Lot Number from the Transportation Laboratory (TL) Form | 256424 |
| Structure unique identifier | 041J3204 | Structure name | Retaining Wall Pocket Creek |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 72102503F |
|---|---|---|---|
| The truck number from where the sample was collected | 253 | The batch plant ticket number from where the sample was collected | 1154543 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | from mix truck | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||