Sample Record
Owner Labs
- CT SC - 3674 - Pacifica 2
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-09-16-12
Project Information
Project Identifiers | Project ID: 209384 DEA: 04264094 EFIS: 0400000735 COOP: 042531 |
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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 | 09/16/2017 | Sample Unique Key | 12 |
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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 | Not set |
Sample type | Quality Assurance | A brief description of the sample | 2 6x12 concrete cylinders |
The quantity of what the sample constitutes | 2941 Cy Placed in Stem and Soffit Pour | From where was the sample collected | Job Site |
First name of sampler or witnessed by | P | 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 | 270119 | |
Structure name | San Antonio Creek Bridge |
Material Information
Material Type | Concrete | The concrete mix design number | 4100A |
---|---|---|---|
The truck number from where the sample was collected | 1420 | The batch plant ticket number from where the sample was collected | 455037 |
Concrete batch plant | 04 | 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 | SACB Stem Soffit |
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: 2017-09-16-12-1 ASTM C39-10 (Verified)