Sample Record
Owner Lab
- CT D10 - Turlock Structures Construction Field Office
DIME Sample ID 2024-07-16-37
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212800 DEA: 100G8304 EFIS: 1012000316 |
|---|---|
| DIST-CO-RTE-PM | 10-MER-152,140,152-Var |
| Award Date | 10/31/2023 |
| Closeout Date | Not set |
| Work Description | MERCED SEISMIC RESTORATION |
| Location Description | IN MERCED COUNTY ON STATE ROUTES, 59, 140 AND 152 AT VARIOUS BRIDGES. |
| QA Service Level | 1 (Verified on 12/20/2018) |
Sample Information
| Sample Taken Date | 07/16/2024 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 07/17/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Caltrans Class 1 |
| The quantity of what the sample constitutes | 16 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Alexis | Last name of sampler or witnessed by | Hernandez |
| Title of sampler | ASR | Telephone number of sampler | 209-401-8002 |
| Laboratory sample identification | 1-28-1, 1-28-2, 1-28-3, 1-hold-1, 1-hold-2, 1-hold-3 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Central Valley Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 39-0034 L | |
| Structure name | Eastside Bypass Channel Bridge No. 39-0034L | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 1922S-FC |
|---|---|---|---|
| The truck number from where the sample was collected | 295 | The batch plant ticket number from where the sample was collected | 655030 |
| Concrete batch plant | Central Valley Trucking | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Concrete sample from Truck | Where the material sample would have been placed if not sampled | Bridge No. 39-0034L Unsound Concrete Patch |
| From Lot No. | Bag Lot No. |
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. | |||