Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-10-19-19
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Project Information
| Project Identifiers | Project ID: 212114 DEA: 044K4604 EFIS: 0417000312 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-1-17.0/17.5 |
| Award Date | 02/10/2017 |
| Closeout Date | 08/22/2018 |
| Work Description | construct soldier pile wall and RSP |
| Location Description | ROUTE 1, AT POSTMILE 17.0 TO 17.5, NEAR THE JUNCTION OF HWY 84, SAN MATEO COUNTY REPAIR SLOPE |
| QA Service Level | 1 (Verified on 06/30/2017) |
Sample Information
| Sample Taken Date | 10/19/2017 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 11/14/2017 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sergio | Last name of sampler or witnessed by | Gomez |
| 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 | 203602 |
| 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 | Unknown |
|---|---|---|---|
| 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 | Unknown | 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: 2017-10-19-19-1 ASTM C39-17a (Verified)