Sample Record
Owner Lab
- CT SC - 3676 - 104
DIME Sample ID 2019-06-17-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213267 DEA: 04013584 EFIS: 0416000289 |
|---|---|
| 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 | 06/17/2019 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 06/17/2019 |
| Sample type | Verification | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 18 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 |
|---|---|---|---|
| The truck number from where the sample was collected | 8190 | The batch plant ticket number from where the sample was collected | 18853187 |
| Concrete batch plant | 30 | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Concrete Truck | Where the material sample would have been placed if not sampled | North Stairs |
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||