Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2024-06-14-53
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994859 DEA: 021H5904 EFIS: 0216000025 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-43.5,57.0 |
| Award Date | 08/07/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE CULVERTS WITH BRIDGES, STREAMBED RESTORATION, & LANDSCAPING. |
| Location Description | SISKIYOU COUNTY AT AND NEAR HAPPY CAMP AT 0.8 MILE WEST OF GORDON\\'S FERRY ROAD AND AT PORTUGUESE CREEK |
| QA Service Level | 1 (Verified on 08/10/2023) |
Sample Information
| Sample Taken Date | 06/14/2024 | Sample Unique Key | 53 |
|---|---|---|---|
| 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 | 06/14/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 3 - 4x8 cylinders |
| The quantity of what the sample constitutes | 3 - 4x8 cylinders | From where was the sample collected | Source |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | QA Inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kie-Con Antioch | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 02-1H5904 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 02-1H5904 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | at the source | 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: 2024-06-14-53-1 ASTM C39-21 (Verified)