Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-07-28-16
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209384 DEA: 04264094 EFIS: 0400000735 COOP: 042531 |
|---|---|
| DIST-CO-RTE-PM | 04-,SON-- |
| Award Date | 01/21/2016 |
| Closeout Date | 06/03/2020 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/03/2020) |
Sample Information
| Sample Taken Date | 07/28/2017 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 08/23/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 2 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 19 CY Placed in wall | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Philip | Last name of sampler or witnessed by | Latasa |
| Title of sampler | TEC | Telephone number of sampler | 510) 385-7179 |
| 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 | RW1 |
Material Information
| Material Type | Concrete | The concrete mix design number | 4201a |
|---|---|---|---|
| The truck number from where the sample was collected | 1407 | The batch plant ticket number from where the sample was collected | 452963 |
| Concrete batch plant | 4 | 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 | RW1 Wall St 1000 to 1066 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-07-28-16-1 ASTM C39-10 (Verified)