Sample Record

Owner Lab

  • Twining, Incorporated - Sacramento

DIME Sample ID 2017-08-18-14

Project Information

Project IdentifiersProject ID: 209187
DEA: 04235624
EFIS: 0400000678
COOP: 042583
DIST-CO-RTE-PM04-SCL,SM-101-52.0/52.6,0.0/0.6
Award Date04/28/2015
Closeout Date01/08/2020
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionSANTA CLARA AND SAN MATEO COUNTIES IN PALO ALTO AND EAST PALO ALTO FROM OREGON EXPRESSWAY OVERCROSSING TO 0.3 MILE SOUTH OF UNIVERSITY AVENUE OVERCROSSING
QA Service Level1 (Verified on 12/11/2013)

Sample Information

Sample Taken Date08/18/2017 Sample Unique Key14
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 testing08/18/2017
Sample typeQuality Control A brief description of the sample1x4 / WCS
The quantity of what the sample constitutes2 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byHector Last name of sampler or witnessed byAvelica
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameVulcan Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Central Concrete
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedUnknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments