Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-02-25-1
Project Information
Project Identifiers | Project ID: 211997 DEA: 044K1504 EFIS: 0417000271 COOP: 250 |
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DIST-CO-RTE-PM | 04-MRN-1-4.0/8.0, 4.0/5.0 |
Award Date | 01/03/2017 |
Closeout Date | 12/20/2017 |
Work Description | const SPW and replace culvert |
Location Description | Not set |
QA Service Level | 1 (Verified on 02/03/2017) |
Sample Information
Sample Taken Date | 02/25/2017 | Sample Unique Key | 1 |
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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 | 03/13/2017 |
Sample type | Quality Assurance | A brief description of the sample | 2 6x12 concrete cylinders |
The quantity of what the sample constitutes | 34 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Marr |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Shamrock | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | soldier pile wall |
Material Information
Material Type | Concrete | The concrete mix design number | 4201a |
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The truck number from where the sample was collected | 151528 | The batch plant ticket number from where the sample was collected | 151528 |
Concrete batch plant | 01 | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | soldier pile wall |
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: 2017-02-25-1-1 ASTM C39-10 (Verified)