Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-09-27-10
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Project Information
| Project Identifiers | Project ID: 214456 DEA: 030J8404 EFIS: 0320000032 |
|---|---|
| DIST-CO-RTE-PM | 03-BUT-70-16.6, 16.63 |
| Award Date | 08/23/2019 |
| Closeout Date | 04/23/2021 |
| Work Description | Emergency Repair - High Speed Vehicle Strike |
| Location Description | Garden Drive O.C |
| QA Service Level | 1 (Verified on 10/03/2019) |
Sample Information
| Sample Taken Date | 09/27/2019 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 09/30/2019 |
| 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 | b | Last name of sampler or witnessed by | baker |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | jobsite | Transportation Laboratory (TL) Number | 132512 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 1611676 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 00000000000 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Jobsite | 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: 2019-09-27-10-1 ASTM C39-17a (Verified)