Sample Record
Owner Lab
- Construction Testing Services
DIME Sample ID 2024-05-31-49
Project Information
Project Identifiers | Project ID: 994574 DEA: 050C7334 EFIS: 0518000116 |
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DIST-CO-RTE-PM | 05-SCR-1-10.5/13.4 |
Award Date | 06/29/2023 |
Closeout Date | Not set |
Work Description | CONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs |
Location Description | SANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 04/13/2023) |
Sample Information
Sample Taken Date | 05/31/2024 | Sample Unique Key | 49 |
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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 | 06/01/2024 |
Sample type | Quality Control | A brief description of the sample | 4000 psi Concrete |
The quantity of what the sample constitutes | 3 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Hiner |
Title of sampler | Sampler _and_Tester | Telephone number of sampler | |
Laboratory sample identification | 275368 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Las Animas | 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 | C2S30 |
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The truck number from where the sample was collected | 121 | The batch plant ticket number from where the sample was collected | 381973 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | from chute | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2024-05-31-49-1 ASTM C39-10 (Verified)