Sample Record
Owner Lab
- Con-Fab California, LLC
DIME Sample ID 2024-09-27-25
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 1000078 DEA: 051P2804 EFIS: 0522000016 |
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DIST-CO-RTE-PM | 05-SCR, -1-17.02/17.02 |
Award Date | 04/19/2024 |
Closeout Date | Not set |
Work Description | REPLACE SEPARATION BRIDGE GIRDER. |
Location Description | SANTA CRUZ COUNTY IN SANTA CRUZ AT ROUTE 1 NORTHBOUND/17 SEPARATION |
QA Service Level | 1 (Verified on 02/05/2024) |
Sample Information
Sample Taken Date | 09/27/2024 | Sample Unique Key | 25 |
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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 | 09/30/2024 |
Sample type | Quality Control | A brief description of the sample | T-II/V Cement |
The quantity of what the sample constitutes | 4 CY | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Jimmy | Last name of sampler or witnessed by | Juco |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Con-Fab California, LLC - Shafter | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | SCC-S8.5-0FG |
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The truck number from where the sample was collected | 76 | The batch plant ticket number from where the sample was collected | 5132 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Sampled from wheelbarrow collected from chute of ready mix truck | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2024-09-27-25-1 ASTM C138-17a (Verified)
DIME Test ID: 2024-09-27-25-2 ASTM C1064-17 (Verified)
DIME Test ID: 2024-09-27-25-3 ASTM C1611-21 (Verified)
DIME Test ID: 2024-09-27-25-4 CTM TEMP1-16 (Verified)
DIME Test ID: 2024-09-27-25-5 ASTM C231-17a (Verified)
DIME Test ID: 2024-09-27-25-6 ASTM C39-21 (Verified)