Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-06-19-11
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Project Information
| Project Identifiers | Project ID: 211614 DEA: 033C3804 EFIS: 0300000458 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-75.4/77.3 |
| Award Date | 01/23/2017 |
| Closeout Date | 12/06/2021 |
| Work Description | HOT MIX ASPHALT, ROADWAY EXCAVATION, AND SIGNAL AND LIGHTING |
| Location Description | EL DORADO COUNTY IN SOUTH LAKE TAHOE FROM NORTH JUNCTION ROUTE 89 TO TROUT CREEK BRIDGE |
| QA Service Level | 1 (Verified on 10/20/2016) |
Sample Information
| Sample Taken Date | 06/19/2018 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 06/22/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | two cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Alfredo | Last name of sampler or witnessed by | carronza |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | 188836 |
| 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 | M680 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 000000000000 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | COLLECTED AT JOBSITE | 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: 2018-06-19-11-1 ASTM C39-17a (Verified)