Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-11-27-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211777 DEA: 04209504 EFIS: 0412000116 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN,SON-1-50.2/50.5,0.0/0.2 |
| Award Date | 01/04/2017 |
| Closeout Date | 10/21/2019 |
| Work Description | REPLACE ESTERO BRIDGE AND REALIGN APPROACHING ROADWAY; Bridge No. 27-0121 |
| Location Description | MARIN AND SONOMA COUNTIES NEAR VALLEY FORD FROM 0.4 MILE SOUTH OF ESTERO AMERICANO BRIDGE TO 0.2 MILE NORTH OF ESTERO AMERICANO BRIDGE |
| QA Service Level | 1 (Verified on 01/17/2017) |
Sample Information
| Sample Taken Date | 11/27/2017 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 cylinders | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Cummings |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 916-718-7759 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ConFab Lathrop | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S29-246-17 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SCC V85-25F |
|---|---|---|---|
| The truck number from where the sample was collected | 2 | The batch plant ticket number from where the sample was collected | 1332 |
| Concrete batch plant | Johnson | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Void slabs | Where the material sample would have been placed if not sampled | |
| 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: 2017-11-27-1-1 ASTM C39-17a (Verified)
DIME Test ID: 2017-11-27-1-2 ASTM C39-10 (Verified)