Sample Record
Owner Lab
- CT SC - 3676 - 106
DIME Sample ID 2019-08-27-3
Project Information
Project Identifiers | Project ID: 213702 DEA: 041G4304 EFIS: 0412000126 |
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DIST-CO-RTE-PM | 04-NAP-128-R7.4 |
Award Date | 03/29/2019 |
Closeout Date | 12/08/2022 |
Work Description | REPLACE BRIDGE, HMA PAVING, DRAINAGE AND RSP |
Location Description | NAPA COUNTY NEAR SAINT HELENA AT CONN CREEK |
QA Service Level | 1 (Verified on 07/29/2019) |
Sample Information
Sample Taken Date | 08/27/2019 | Sample Unique Key | 3 |
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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 | 09/04/2019 |
Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 4 Cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Nana | Last name of sampler or witnessed by | Budu |
Title of sampler | Unknown | Telephone number of sampler | 510-867-4517 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Shamrock Materials | Transportation Laboratory (TL) Number | 28 - Napa |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 21-0115 |
Structure name | Conn Creek Bridge Abut 1 Pile 5 |
Material Information
Material Type | Concrete | The concrete mix design number | 4700 |
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The truck number from where the sample was collected | 1956 | The batch plant ticket number from where the sample was collected | 730160 |
Concrete batch plant | Shamrock Materials | The fabricator/manufacturer designation for the sample | Shamrock Materials |
A detailed description of where the material sample was collected | Back of Truck | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |