Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-04-22-1
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Project Information
| Project Identifiers | Project ID: 994820 DEA: 060V1104 EFIS: 0616000208 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE,KIN-5,41,198-Var |
| Award Date | 08/31/2023 |
| Closeout Date | Not set |
| Work Description | STRATFORD KINGS RIVER BRIDGE REPLACEMENT. |
| Location Description | FRESNO AND KINGS COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 09/20/2023) |
Sample Information
| Sample Taken Date | 04/22/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 04/19/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 9 cylinder- 4X8 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Fares | Last name of sampler or witnessed by | Thwabah |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | MCM Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 45-0110 | |
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | ND15518C |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 117190115 | |
| 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 | Abutment 1 |
| 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: 2024-04-22-1-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-04-22-1-2 CTM 521-June 2020 (Verified)