Sample Record
Owner Lab
- Con-Fab California Corporation - Lathrop
DIME Sample ID 2020-07-01-3
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Project Information
| Project Identifiers | Project ID: 214511 DEA: 010E0004 EFIS: 0113000091 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-84.4/84.8 |
| Award Date | 01/29/2020 |
| Closeout Date | 11/22/2023 |
| Work Description | BRIDGE RAIL REPLACEMENT. |
| Location Description | HUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE |
| QA Service Level | 1 (Verified on 11/13/2019) |
Sample Information
| Sample Taken Date | 07/01/2020 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 07/02/2020 |
| Sample type | Quality Control | 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 | Manufacturer |
| First name of sampler or witnessed by | Mark Patrick | Last name of sampler or witnessed by | Baddu |
| Title of sampler | QC Inspector | Telephone number of sampler | |
| Laboratory sample identification | 7-18-20-B1B | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Con-Fab California, LLC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Jacoby Creek |
Material Information
| Material Type | Concrete | The concrete mix design number | 85LV20F5S |
|---|---|---|---|
| The truck number from where the sample was collected | 3rd | The batch plant ticket number from where the sample was collected | 1884 |
| Concrete batch plant | BP1 | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Bed 1B, 3rd Truck | Where the material sample would have been placed if not sampled | Casting Bed |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-01-3-1 ASTM C39-10 (Verified)