Sample Record
Owner Lab
- CT SC - 3676 - 104
DIME Sample ID 2019-04-25-12
Project Information
Project Identifiers | Project ID: 213267 DEA: 04013584 EFIS: 0416000289 |
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DIST-CO-RTE-PM | 04-SF-80-8.0/8.3,0.9/1.4 |
Award Date | 03/29/2018 |
Closeout Date | 12/30/2019 |
Work Description | Pier Retention |
Location Description | In San Francisco and Alameda Counties on Yerba Buena Island and .4 miles west of Oakland Toll plaza |
QA Service Level | 1 (Verified on 05/01/2018) |
Sample Information
Sample Taken Date | 04/25/2019 | Sample Unique Key | 12 |
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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 testing | 05/24/2019 |
Sample type | Verification | A brief description of the sample | Concrete Cylinder 6 x 12 |
The quantity of what the sample constitutes | 27 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Chetan | Last name of sampler or witnessed by | Sihra |
Title of sampler | TED | Telephone number of sampler | 415-823-6360 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Central Concrete | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | YBI Observation Structure |
Material Information
Material Type | Concrete | The concrete mix design number | 4E01C5S1 |
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The truck number from where the sample was collected | 1421 | The batch plant ticket number from where the sample was collected | 18823343 |
Concrete batch plant | 30 | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | Concrete Truck | Where the material sample would have been placed if not sampled | Curb |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |