Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-06-09-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214190 DEA: 024G41U4 EFIS: 0218000047 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS,SIS-5-Var |
| Award Date | 08/26/2019 |
| Closeout Date | 11/24/2021 |
| Work Description | REPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL. |
| Location Description | SHASTA AND SISKIYOU COUNTIES ABOUT 7 MILES NORTH OF POLLARD FLAT FROM 0.8 MILE SOUTH TO 0.7 MILE NORTH OF SIMS ROAD UNDERCROSSING AND FROM 0.6 MILE SOUTH OF CASTLE CRAGS DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF SOUTH DUNSMUIR UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/09/2019) |
Sample Information
| Sample Taken Date | 06/09/2020 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 06/10/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 - 6x12 cylinders | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Andre | Last name of sampler or witnessed by | Totari |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kie-Con Antioch | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | K6065-604 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 0 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Kie-Con Antioch | 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 |
|---|---|---|---|---|---|---|---|---|
| 2020-06-09-9-1 | ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | Andre Totari, CT HQ - QASI Bay Area Field Office | 07/07/2020 | Andre Totari | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-06-09-9-1 ASTM C39-10