Sample Record
Owner Labs
- CT SC - 3676 - 106
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-08-01-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211931 DEA: 043G6414 EFIS: 0416000348 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29-37.0 |
| Award Date | 03/17/2017 |
| Closeout Date | 04/22/2020 |
| Work Description | SCOUR REPLACE BRIDGE |
| Location Description | NAPA COUNTY IN CALISTOGA AT NAPA RIVER BRIDGE |
| QA Service Level | 1 (Verified on 02/15/2017) |
Sample Information
| Sample Taken Date | 08/01/2017 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 08/04/2017 |
| Sample type | Acceptance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 36 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mohammad | Last name of sampler or witnessed by | Nasim |
| Title of sampler | Structures Rep | Telephone number of sampler | 510-867-6050 |
| 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 | Napa River Bridge Calistoga |
Material Information
| Material Type | Concrete | The concrete mix design number | 4700 |
|---|---|---|---|
| The truck number from where the sample was collected | 1296 | The batch plant ticket number from where the sample was collected | 718859 |
| Concrete batch plant | Shamrock Napa | The fabricator/manufacturer designation for the sample | 28 Day Compressive Strength |
| A detailed description of where the material sample was collected | Revolving Truck | Where the material sample would have been placed if not sampled | Abut 1 Pile 2 |
| 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. | |||