Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-07-26-13
Project Information
Project Identifiers | Project ID: 211777 DEA: 04209504 EFIS: 0412000116 |
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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 | 07/26/2018 | Sample Unique Key | 13 |
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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 | 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 | 161423 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | 4201A |
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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 |
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No results found. |
Test File Attachments
DIME Test ID: 2018-07-26-13-1 ASTM C39-17a (Verified)