Sample Record

Owner Lab

  • CT SC Sub-unit 3676-104

DIME Sample ID 2019-06-13-12

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 Date06/13/2019 Sample Unique Key12
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 testing07/12/2019
Sample typeVerification A brief description of the sample6 6x12 Concrete Cylinders
The quantity of what the sample constitutes18 CY 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 sampler415-823-6360
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCentral Concrete Redwood City Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameYBI Observation Structure

Material Information

Material TypeConcrete The concrete mix design number4E01C5S1
The truck number from where the sample was collected8173 The batch plant ticket number from where the sample was collected18881778
Concrete batch plant30 The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedConcrete Truck Where the material sample would have been placed if not sampledYBI Plaza
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.