Sample Record

DIME Sample ID 2024-07-16-37

Project Information

Project IdentifiersProject ID: 212800
DEA: 100G8304
EFIS: 1012000316
DIST-CO-RTE-PM10-MER-152,140,152-Var
Award Date10/31/2023
Closeout Date06/23/2026
Work DescriptionMERCED SEISMIC RESTORATION
Location DescriptionIN MERCED COUNTY ON STATE ROUTES, 59, 140 AND 152 AT VARIOUS BRIDGES.
QA Service Level1 (Verified on 12/20/2018)

Owner Lab

  • CT D10 - Turlock Structures Construction Field Office

Sample Information

Sample Taken Date07/16/2024 Sample Unique Key37
Date that the sample was received by the laboratory/organization performing the testing07/17/2024 Sample typeQuality Assurance
A brief description of the sampleCaltrans Class 1 The quantity of what the sample constitutes16 CY
From where was the sample collectedJob Site First name of sampler or witnessed byAlexis
Last name of sampler or witnessed byHernandez Title of samplerASR
Telephone number of sampler209-401-8002 Laboratory sample identification1-28-1, 1-28-2, 1-28-3, 1-hold-1, 1-hold-2, 1-hold-3
Linked DIME Sample ID The fabricator/manufacturer/facility nameCentral Valley Concrete
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier39-0034 L Structure nameEastside Bypass Channel Bridge No. 39-0034L
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number1922S-FC
The truck number from where the sample was collected295 The batch plant ticket number from where the sample was collected655030
Concrete batch plantCentral Valley Trucking The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete sample from Truck Where the material sample would have been placed if not sampledBridge No. 39-0034L Unsound Concrete Patch
From Lot No. Bag Lot No.

Submitted Tests

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