Sample Record

Owner Lab

  • CT SC - 3676 - 104

DIME Sample ID 2018-11-30-5

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 Date11/30/2018 Sample Unique Key5
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 testing01/04/2019
Sample typeVerification A brief description of the sampleConcrete Cylinders 6 x 12
The quantity of what the sample constitutes18 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 sampler4158236360
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCentral Concrete Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameYBI Plaze

Material Information

Material TypeConcrete The concrete mix design number4E01C5S1
The truck number from where the sample was collected8183 The batch plant ticket number from where the sample was collected18754992
Concrete batch plant30 The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConceret Truck Where the material sample would have been placed if not sampledRW 2 Wall Second Half
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments