Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-08-15-8
Project Information
Project Identifiers | Project ID: 212743 DEA: 030H26U4 EFIS: 0317000247 |
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DIST-CO-RTE-PM | 03-PLA-65-R5.0/R6.6 |
Award Date | 02/14/2018 |
Closeout Date | 10/21/2022 |
Work Description | NORTHBOUND WIDENING AND RAMP IMPROVEMENTS. |
Location Description | PLACER COUNTY IN AND NEAR ROSEVILLE AND ROCKLIN FROM 0.1 MILE SOUTH OF EAST ROSEVILLE VIADUCT TO 0.5 MILE SOUTH OF PLEASANT GROVE BOULEVARD OVERCROSSING |
QA Service Level | 1 (Verified on 12/18/2017) |
Sample Information
Sample Taken Date | 08/15/2018 | Sample Unique Key | 8 |
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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 | 08/16/2018 |
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 | she | Last name of sampler or witnessed by | vang |
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 | 173110 |
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 | 1604381 |
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The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 0000000 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | Jobsite | Where the material sample would have been placed if not sampled | Unknown |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |