Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-09-28-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211875 DEA: 040J6404 EFIS: 0414000021 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-29.3/R43.4 |
| Award Date | 03/03/2017 |
| Closeout Date | 06/21/2019 |
| Work Description | RESURFACE AND RESTORE PAVEMENT FOR MAINLINE AND RAMPS |
| Location Description | SONOMA COUNTY IN AND NEAR WINDSOR AND HEALDSBURG FROM WINDSOR LANE UNDERCROSSING TO ROUTE 101/128 SEPARATION |
| QA Service Level | 1 (Verified on 04/18/2017) |
Sample Information
| Sample Taken Date | 09/28/2017 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 09/26/2017 |
| Sample type | Quality Assurance | A brief description of the sample | cylinders |
| The quantity of what the sample constitutes | cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | f | Last name of sampler or witnessed by | Syed |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | 193404 |
| 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 | 4201a |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | Unknown |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | unk | 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: 2017-09-28-17-1 ASTM C39-17a (Verified)