Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-07-10-5
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
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 | 07/10/2018 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | Job Site |
| First name of sampler or witnessed by | Keith | Last name of sampler or witnessed by | Iwamoto |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | 161411 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 3172GG |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | not given | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of Truck | 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: 2018-07-10-5-1 ASTM C39-17a (Verified)