Sample Record
Owner Lab
- Rinker Materials
DIME Sample ID 2020-04-24-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213410 DEA: 024C1504 EFIS: 0213000132 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-23.4/54.5 |
| Award Date | 06/12/2019 |
| Closeout Date | 01/04/2021 |
| Work Description | APC, BOX CULVERTS, CONCRETE HEADWALLS, AND JACKED WELDED STEEL PIPE. |
| Location Description | SISKIYOU COUNTY AT AND NEAR HAPPY CAMP AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF SWILLUP CREEK BRIDGE TO 3.6 MILES EAST OF THOMPSON CREEK BRIDGE |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 04/24/2020 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 04/27/2020 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Buckley |
| Title of sampler | QC Supervisor | Telephone number of sampler | 916-716-3405 |
| Laboratory sample identification | 02-4C1504 | Linked DIME Sample ID | NONE |
| The fabricator/manufacturer/facility name | Forterra Sacramento | Transportation Laboratory (TL) Number | None |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | None | Structure unique identifier | 47-SIS |
| Structure name | Happy Camp |
Material Information
| Material Type | Concrete | The concrete mix design number | 13 special |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | 23 |
| Concrete batch plant | Besser | The fabricator/manufacturer designation for the sample | 4-24-20 |
| A detailed description of where the material sample was collected | concrete sample from wheel barrow | Where the material sample would have been placed if not sampled | RCBC |
| From Lot No. | NA | Bag Lot No. | NA |
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. | |||