Sample Record
Owner Lab
- CT SC - 3672 - Richmond
DIME Sample ID 2018-08-03-17
Project Information
Project Identifiers | Project ID: 212351 DEA: 040P1304 |
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DIST-CO-RTE-PM | 04-MRN-1-11.5, 11.50, 11.5, 12 |
Award Date | 06/09/2017 |
Closeout Date | 09/24/2018 |
Work Description | Construct Soldier Pile Wall with Tiebacks |
Location Description | Route 1 PM 11.5 |
QA Service Level | 1 (Verified on 07/24/2017) |
Sample Information
Sample Taken Date | 08/03/2018 | Sample Unique Key | 17 |
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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 | 08/10/2018 |
Sample type | Quality Control | A brief description of the sample | 6x12 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 | Hla | Last name of sampler or witnessed by | KYI |
Title of sampler | TE Civil | Telephone number of sampler | (415)260-7911 |
Laboratory sample identification | 212351 | Linked DIME Sample ID | 212351 |
The fabricator/manufacturer/facility name | Shamrock | Transportation Laboratory (TL) Number | TL-0502 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | TL-0502 | Structure unique identifier | 27E0074 |
Structure name | Construct Soldier Pile Wall with Tiebacks |
Material Information
Material Type | Concrete | The concrete mix design number | 3172GG |
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The truck number from where the sample was collected | 1439 | The batch plant ticket number from where the sample was collected | 466645 |
Concrete batch plant | Shamrock Materials | The fabricator/manufacturer designation for the sample | Shamrock |
A detailed description of where the material sample was collected | from chute | Where the material sample would have been placed if not sampled | RW2 Tier 4 |
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. |