Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-09-10-3
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213762 DEA: 032F3404 EFIS: 0300020616 |
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DIST-CO-RTE-PM | 03-PLA-49-3.1/7.5 |
Award Date | 02/28/2019 |
Closeout Date | 05/11/2022 |
Work Description | WIDEN SHOULDERS, ADD RETAINING WALLS, REPLACE MBGR, CURBS & ELECTRICAL |
Location Description | PLACER COUNTY IN AND NEAR AUBURN FROM 0.1 MILE SOUTH OF ROUTE 49/80 SEPARATION TO 0.1 MILE NORTH OF DRY CREEK ROAD |
QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
Sample Taken Date | 09/10/2019 | 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 | 09/11/2019 |
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 | Job Site |
First name of sampler or witnessed by | A | Last name of sampler or witnessed by | Wankhede |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Na | Transportation Laboratory (TL) Number | 174002 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | Z5635256 |
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The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 0000000 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | Job site | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2019-09-10-3-1 ASTM C39-17a (Verified)