Sample Record
Owner Labs
- CT D03 - Olivehurst Northern Regional Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-09-18-33
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000091 DEA: 032G5404 EFIS: 0321000237 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-128,505-VAR |
| Award Date | 05/30/2024 |
| Closeout Date | Not set |
| Work Description | PLACE AND FURNISH POLYESTER CONCRETE OVERLAY, & REPLACE JOINT SEALS. |
| Location Description | YOLO COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 02/26/2024) |
Sample Information
| Sample Taken Date | 09/18/2024 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 09/18/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Rapid Set Concrete Mix |
| The quantity of what the sample constitutes | 6 - 4x8 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Phillip | Last name of sampler or witnessed by | Asher |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | 916-768-8293 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Precision Volumetric Truck | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 22-0166L | |
| Structure name | County Road 12 UC |
Material Information
| Material Type | Concrete | The concrete mix design number | 80371TP |
|---|---|---|---|
| The truck number from where the sample was collected | 48 | The batch plant ticket number from where the sample was collected | 342 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | Continuous Batch | |
| A detailed description of where the material sample was collected | Back of the Volumetric Truck | Where the material sample would have been placed if not sampled | Approach Slab |
| 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. | |||