Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-08-16-2
Project Information
Project Identifiers | Project ID: 210617 DEA: 042J1004 EFIS: 0414000426 COOP: 042549 |
---|---|
DIST-CO-RTE-PM | 04-NAP-29-11.3/11.6 |
Award Date | 02/27/2019 |
Closeout Date | 09/28/2021 |
Work Description | CONSTRUCT TWO SEPARATE ROUNDABOUT PROJECTS TOGETHER INTO ONE SINGLE PROJECT AND CONSTRUCTION CONTRACT. |
Location Description | AT THE INTERSECTIONS OF FIRST STREET/ CALIFORNIA BLVD AND SECOND STREET/CALIFORNIA BLVD (CITY) AND AT HE STATE ROUTE 29 NORTHBOUND ON AND OFF RAMPS AND FIRST STREET ( CALTRANS) |
QA Service Level | 1 (Verified on 08/19/2019) |
Sample Information
Sample Taken Date | 08/16/2019 | Sample Unique Key | 2 |
---|---|---|---|
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 | 08/19/2019 |
Sample type | Quality Assurance | A brief description of the sample | Retaining Wall #1 Stem |
The quantity of what the sample constitutes | 2 6x12 concrete cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Elaine | Last name of sampler or witnessed by | Yip |
Title of sampler | Telephone number of sampler | 5105017727 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Shamrock Materials | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | 4201A |
---|---|---|---|
The truck number from where the sample was collected | 2 | The batch plant ticket number from where the sample was collected | 729976 |
Concrete batch plant | Shamrock Materials | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | truck chute | 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 |
---|---|---|---|---|---|---|---|---|
No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |