Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2020-08-19-8
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Project Information
| Project Identifiers | Project ID: 213485 DEA: 032F9804 EFIS: 0312000026 |
|---|---|
| DIST-CO-RTE-PM | 03-COL-20-31.7/32.9 |
| Award Date | 10/15/2018 |
| Closeout Date | 05/11/2022 |
| Work Description | PAVEMENT REHABILITATION |
| Location Description | COLUSA COUNTY IN AND NEAR COLUSA FROM 0.1 MILE EAST OF THE MARKET STREET/STATE ROUTE 20 INTERSECTION TO 0.1 MILE SOUTH OF BUTTE VISTA DRIVE |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 08/19/2020 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 08/24/2020 |
| Sample type | Quality Assurance | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | m | Last name of sampler or witnessed by | atteberry |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | TRUCK | Transportation Laboratory (TL) Number | 134358 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 07216p25 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | na | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | from mix truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-08-19-8-1 ASTM C39-17a (Verified)