Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-01-12-9
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Project Information
| Project Identifiers | Project ID: 209384 DEA: 04264094 EFIS: 0400000735 COOP: 042531 |
|---|---|
| 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 | 01/12/2018 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 01/30/2018 |
| Sample type | Quality Assurance | A brief description of the sample | concrete from backwall |
| The quantity of what the sample constitutes | 2 concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Melvin | Last name of sampler or witnessed by | Dumlao |
| Title of sampler | ASR | Telephone number of sampler | 4158120490 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Shamrock Materials | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| 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 | 1412 | The batch plant ticket number from where the sample was collected | 459479 |
| Concrete batch plant | petaluma | The fabricator/manufacturer designation for the sample | Shamrock |
| A detailed description of where the material sample was collected | On Job Site at Concrete Truck | Where the material sample would have been placed if not sampled | Stage 1 Abutment 1 Backwall |
| 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: 2018-01-12-9-1 ASTM C39-17a (Verified)