Sample Record
Owner Lab
- CT SC - 3672 - Santa Rosa
DIME Sample ID 2024-06-29-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000310 DEA: 041X5804 EFIS: 0424000402 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116-19.9 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Remove 12" AC overlay on the Jones Creek Bridge and Install precast pre-stressed slab girder. |
| Location Description | Jones Creek Bridge (Bridge # 20-0094) in Sonoma 116 post mile 19.9 |
| QA Service Level | 1 (Verified on 05/14/2024) |
Sample Information
| Sample Taken Date | 06/29/2024 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 07/05/2024 |
| Sample type | Quality Assurance | A brief description of the sample | RSC |
| The quantity of what the sample constitutes | 2.61 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jose | Last name of sampler or witnessed by | Calderon |
| Title of sampler | Telephone number of sampler | 9164252912 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Precision Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Jones Bridge | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 80371TP |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 945 | |
| 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: 2024-06-29-5-1 ASTM C1064-17 (Verified)
DIME Test ID: 2024-06-29-5-2 ASTM C138-17a (Verified)
DIME Test ID: 2024-06-29-5-3 ASTM C39-17a (Verified)