Sample Record

Owner Lab

  • CT SC Sub-unit 3676-104

DIME Sample ID 2018-09-11-16

Project Information

Project IdentifiersProject ID: 213267
DEA: 04013584
EFIS: 0416000289
DIST-CO-RTE-PM04-SF-80-8.0/8.3,0.9/1.4
Award Date03/29/2018
Closeout Date12/30/2019
Work DescriptionPier Retention
Location DescriptionIn San Francisco and Alameda Counties on Yerba Buena Island and .4 miles west of Oakland Toll plaza
QA Service Level1 (Verified on 05/01/2018)

Sample Information

Sample Taken Date09/11/2018 Sample Unique Key16
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 testing09/11/2018
Sample typeVerification A brief description of the sample6 X 12 Concrete Cylinder
The quantity of what the sample constitutes6 CY From where was the sample collectedJob Site
First name of sampler or witnessed byChetan Last name of sampler or witnessed bySihra
Title of samplerTED Telephone number of sampler415-823-6360
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCentral Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number4E01C5SS
The truck number from where the sample was collected8162 The batch plant ticket number from where the sample was collected18704555
Concrete batch plant30 The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedConcrete Truck Where the material sample would have been placed if not sampledMock Slab
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments