Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-08-01-9
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Project Information
| Project Identifiers | Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R3.8/R11.7 |
| Award Date | 11/06/2018 |
| Closeout Date | 08/16/2023 |
| Work Description | WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB |
| Location Description | SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
| Sample Taken Date | 08/01/2019 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 08/02/2019 |
| 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 | Source |
| First name of sampler or witnessed by | jane | Last name of sampler or witnessed by | lillard |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | KIE- CON | Transportation Laboratory (TL) Number | 95703 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | K6080-603 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 0000000000000 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | source | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-08-01-9-1 ASTM C39-17a (Verified)