Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-02-23-5
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213002 DEA: 042640N4 EFIS: 0412000649 |
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DIST-CO-RTE-PM | 04-MRN,SON-101-MRN27.0/27.6SON0.0/4.5 |
Award Date | 04/09/2018 |
Closeout Date | 03/12/2021 |
Work Description | CONSTRUCT HOV LANES |
Location Description | MARIN 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 Level | 1 (Verified on 04/13/2018) |
Sample Information
Sample Taken Date | 02/23/2019 | Sample Unique Key | 5 |
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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 | 03/08/2019 |
Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | two cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Harry | Last name of sampler or witnessed by | Suryantoro |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Unknown | |
Structure name | Unknown |
Material Information
Material Type | Concrete | The concrete mix design number | 0000000000 |
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The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 00000000000 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | Job site | Where the material sample would have been placed if not sampled | Unknown |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-02-23-5-1 ASTM C39-17a (Verified)