Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2013-10-23-9083269

Project Information

Project IdentifiersProject ID: 7780
DEA: 112T1824
EFIS: 1100020051
DIST-CO-RTE-PM11-SD-805-4.7/5.6
Award Date01/03/2013
Closeout Date09/07/2018
Work DescriptionREPLACE STRUCTURE AND CONSTRUCT DIRECT ACCESS RAMP (DAR).
Location DescriptionSAN DIEGO COUNTY IN CHULA VISTA FROM 0.4 MILE SOUTH OF EAST PALOMAR STREET OVERCROSSING TO 0.1 MILE NORTH OF NAPLES STREET UNDERCROSSING
QA Service Level1 (Verified on 12/10/2012)

Sample Information

Sample Taken Date10/23/2013 Sample Unique Key9083269
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 testingNot set
Sample typeVerification A brief description of the samplePCC
The quantity of what the sample constitutes2 cylinders From where was the sample collectedOther
First name of sampler or witnessed byBrett Last name of sampler or witnessed bySoldano
Title of samplerField Technician Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeConcrete The concrete mix design number12345
The truck number from where the sample was collectedNot set The batch plant ticket number from where the sample was collected12345677
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collectedWheelbarrow Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.