Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-02-05-16
Project Information
Project Identifiers | Project ID: 1000285 DEA: 042Q4604 EFIS: 0419000015 |
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DIST-CO-RTE-PM | 04-SF-101-0.8,3.4 |
Award Date | 08/28/2024 |
Closeout Date | Not set |
Work Description | BRIDGE RAIL REPLACEMENT. |
Location Description | THE CITY AND COUNTY OF SAN FRANCISCO AT THIRD STREET UNDERCROSSING AND AT TWENTY THIRD STREET OVERCROSSING. |
QA Service Level | 1 (Verified on 07/15/2024) |
Sample Information
Sample Taken Date | 02/05/2025 | Sample Unique Key | 16 |
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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 | 02/21/2025 |
Sample type | Quality Assurance | A brief description of the sample | HWY 101 23rd Street overcrossing |
The quantity of what the sample constitutes | One truck | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Sebastian | Last name of sampler or witnessed by | M |
Title of sampler | ASR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | 23rd Street Overcrossing |
Material Information
Material Type | Concrete | The concrete mix design number | 1629474 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1111111 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Truck -out | 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: 2025-02-05-16-1 ASTM C39-17a (Verified)
DIME Test ID: 2025-02-05-16-2 ASTM C39-17a (Verified)