Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-04-29-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214463 DEA: 043G6204 EFIS: 0412000141 |
|---|---|
| DIST-CO-RTE-PM | 04-SF-101-2.0 |
| Award Date | 02/20/2020 |
| Closeout Date | 01/13/2023 |
| Work Description | Replace bridge concrete decks, concrete barriers and bridge railings |
| Location Description | Construction on State Highway in the city and county of San Francisco at Alemany Circle Undercrossing |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 04/29/2020 | Sample Unique Key | 3 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 04/29/2020 |
| Sample type | Verification | A brief description of the sample | 6"x12" cylinders for RSC |
| The quantity of what the sample constitutes | 300 cu yds | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Gary | Last name of sampler or witnessed by | Delabriandais |
| Title of sampler | Kleinfelder QA Technician | Telephone number of sampler | 510-260-9527 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Central Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 34-0033 | |
| Structure name | Alemany Circle UC |
Material Information
| Material Type | Concrete | The concrete mix design number | X80CC5T2 |
|---|---|---|---|
| The truck number from where the sample was collected | 6211 | The batch plant ticket number from where the sample was collected | 18024644 |
| Concrete batch plant | 09 | The fabricator/manufacturer designation for the sample | 5SB |
| A detailed description of where the material sample was collected | from end of pump next to deck | Where the material sample would have been placed if not sampled | SB Deck Span 5 load 67 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-29-3-1 ASTM C39-17a (Verified)