Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-06-09-10
Project Information
Project Identifiers | Project ID: 213958 DEA: 010F9604 EFIS: 0116000109 |
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DIST-CO-RTE-PM | 01-HUM-101-124.5 |
Award Date | 11/06/2019 |
Closeout Date | 11/23/2021 |
Work Description | LITTLE LOST MAN FISH PASSAGE |
Location Description | HUMBOLDT COUNTY NEAR ORICK 0.2 MILE SOUTH OF LOST MAN CREEK BRIDGE |
QA Service Level | 1 (Verified on 06/24/2019) |
Sample Information
Sample Taken Date | 06/09/2020 | Sample Unique Key | 10 |
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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 | K4200 |
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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 |
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2020-06-09-10-1 | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2020-06-09-10-1 ASTM C39-10