Sample Record
Owner Lab
- SCST, LLC
DIME Sample ID 2013-11-04-11101891
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 8127 DEA: 080N5904 EFIS: 0800000533 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R85.2 |
| Award Date | 02/07/2013 |
| Closeout Date | 05/11/2015 |
| Work Description | CONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE |
| Location Description | SAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE |
| QA Service Level | 1 (Verified on 12/10/2012) |
Sample Information
| Sample Taken Date | 11/04/2013 | Sample Unique Key | 11101891 |
|---|---|---|---|
| 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 | 11/05/2013 |
| Sample type | Quality Control | A brief description of the sample | concrete cylinders |
| The quantity of what the sample constitutes | 4 concrete cylinders | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jared | Last name of sampler or witnessed by | Tietjen |
| Title of sampler | Field Technician | Telephone number of sampler | Not set |
| Laboratory sample identification | Not set | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Hi-Grade Concrete Supplier | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SITI72SK-4500 |
|---|---|---|---|
| The truck number from where the sample was collected | 184 | The batch plant ticket number from where the sample was collected | 812363 |
| Concrete batch plant | Not set | The fabricator/manufacturer designation for the sample | Not set |
| A detailed description of where the material sample was collected | Transition Slabs at Eastern and Western Ends of the 9-inch Deck Pour | Where the material sample would have been placed if not sampled | Not set |
| From Lot No. | Not set | Bag Lot No. | Not set |
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. | |||