Sample Record
Owner Lab
- CT HQ - Sacramento Materials Management Branch Field Office
DIME Sample ID 2020-02-10-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 210837 DEA: 080J0804 EFIS: 0800000283 COOP: 081625 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-34.7/51.6 |
| Award Date | 04/17/2017 |
| Closeout Date | Not set |
| Work Description | (Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT |
| Location Description | Riverside County and SBD-15-0.0/1.3 |
| QA Service Level | 1 (Verified on 05/08/2017) |
Sample Information
| Sample Taken Date | 02/10/2020 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 02/10/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 6"x12" cylinders |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Frederic | Last name of sampler or witnessed by | Aboujaoude |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Coreslab Structures | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | G-113 |
Material Information
| Material Type | Concrete | The concrete mix design number | 284 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 74644 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Casting Bed 9 - From Coreslab after pouring girder G113 | 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. | |||