Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-06-04-15
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Project Information
| Project Identifiers | Project ID: 210808 DEA: 020E0904 EFIS: 0200000016 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R29.3/R31.1,R45.0/R45.8 |
| Award Date | 02/03/2016 |
| Closeout Date | 10/21/2020 |
| Work Description | REPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT |
| Location Description | IN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE. |
| QA Service Level | 1 (Verified on 09/23/2015) |
Sample Information
| Sample Taken Date | 06/04/2018 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 06/05/2018 |
| Sample type | Quality Assurance | A brief description of the sample | concrete cylinders |
| 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 | Glen | Last name of sampler or witnessed by | Lawson |
| Title of sampler | SR | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | field | Transportation Laboratory (TL) Number | 168802 |
| 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 | TLW850-300R |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | na |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | field | 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: 2018-06-04-15-1 ASTM C39-17a (Verified)