Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-01-28-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213337 DEA: 024F5404 EFIS: 0213000004 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-R15.3/R16.5 |
| Award Date | 07/30/2018 |
| Closeout Date | 05/23/2022 |
| Work Description | BRIDGE REPLACEMENT - SOUTHBOUND ONLY |
| Location Description | SISKIYOU COUNTY NEAR WEED FROM 0.1 MILE SOUTH OF DEETZ ROAD UNDERCROSSING TO 0.6 MILE NORTH OF BLACK BUTTE OVERHEAD 02-0004L |
| QA Service Level | 1 (Verified on 11/14/2018) |
Sample Information
| Sample Taken Date | 01/28/2019 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 01/29/2019 |
| Sample type | Informational | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Stacey | Last name of sampler or witnessed by | Davis |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | KieCon | 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 | K556554522 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | UNK |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | fabricator | Where the material sample would have been placed if not sampled | Unknown |
| 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 |
|---|---|---|---|---|---|---|---|---|
| 2019-01-28-14-1 | ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | William Sommer, CT HQ - QASI Bay Area Field Office | 02/25/2019 | William Sommer | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-01-28-14-1 ASTM C39-17a