Sample Record
Owner Lab
- CT D10 - Turlock Structures Construction Field Office
DIME Sample ID 2024-07-29-12
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
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 | 07/29/2024 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 07/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Calportland Type II/V Portland Cement |
| The quantity of what the sample constitutes | 15.5 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 | Assistant SR | Telephone number of sampler | 209-401-8002 |
| Laboratory sample identification | 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 | 10-0G8304 | |
| Structure name | Eastside Bypass Channel Bridge 39-0034R |
Material Information
| Material Type | Concrete | The concrete mix design number | 1922S-FC |
|---|---|---|---|
| The truck number from where the sample was collected | 285 | The batch plant ticket number from where the sample was collected | 655250 |
| Concrete batch plant | 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. 39-0034R Left EOD widening |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||