Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-08-29-5
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Project Information
| Project Identifiers | Project ID: 209708 DEA: 04235524 EFIS: 0412000496 COOP: 042536,042616 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-92,82-R11.2/10.5 |
| Award Date | 01/20/2017 |
| Closeout Date | 02/14/2018 |
| Work Description | IMPROVEMENTS TO THE STATE ROUTE (SR) 92/EL CAMINO REAL (SR82) INTERCHANGE |
| Location Description | IN THE CITY OF SAN MATEO |
| QA Service Level | 1 (Verified on 10/24/2016) |
Sample Information
| Sample Taken Date | 08/29/2017 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 09/12/2017 |
| Sample type | Quality Assurance | A brief description of the sample | concrete cylinders |
| The quantity of what the sample constitutes | 2 concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | Jarosz |
| Title of sampler | sr | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | field | Transportation Laboratory (TL) Number | 056520 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 57b590 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | na |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | field | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-08-29-5-1 ASTM C39-17a (Verified)