Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-11-06-3
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 |
---|---|
DIST-CO-RTE-PM | 04-ALA-680-M2.4/M12.4 |
Award Date | 11/16/2017 |
Closeout Date | 12/08/2022 |
Work Description | ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS |
Location Description | FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 10/16/2017) |
Sample Information
Sample Taken Date | 11/06/2019 | Sample Unique Key | 3 |
---|---|---|---|
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 | 11/13/2019 |
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 | Jordan | Last name of sampler or witnessed by | Jarosz |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | jobsite | Transportation Laboratory (TL) Number | 181288 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | D201C5E1 |
---|---|---|---|
The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | Unknown |
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: 2019-11-06-3-1 ASTM C39-17a (Verified)