Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2018-11-01-10

Project Information

Project IdentifiersProject ID: 213002
DEA: 042640N4
EFIS: 0412000649
DIST-CO-RTE-PM04-MRN,SON-101-MRN27.0/27.6SON0.0/4.5
Award Date04/09/2018
Closeout Date03/12/2021
Work DescriptionCONSTRUCT HOV LANES
Location DescriptionMARIN AND SONOMA COUNTIES IN AND NEAR PETALUMA FROM 0.6 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE TO 0.3 MILE SOUTH OF EAST WASHINGTON STREET OVER CROSSING
QA Service Level1 (Verified on 04/13/2018)

Sample Information

Sample Taken Date11/01/2018 Sample Unique Key10
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 testing11/19/2018
Sample typeQuality Assurance A brief description of the sampleTwo concrete cylinders
The quantity of what the sample constitutestwo cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byna Last name of sampler or witnessed byna
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namena Transportation Laboratory (TL) Number2018-11-01-9
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number000000
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected000000
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedJob site Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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