Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-10-01-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214572 DEA: 034E62U4 EFIS: 0319000068 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-18.5/24.2 |
| Award Date | 05/04/2020 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT UC, MED BARRIER, DRAINAGE SYSTEMS & HMA OVERLAY. |
| Location Description | EL DORADO COUNTY IN AND NEAR PLACERVILLE FROM MOSQUITO ROAD UNDERCROSSING TO SCHNELL SCHOOL ROAD UNDERCROSSING AND FROM 0.2 MILE WEST OF STILL MEADOW ROAD TO 0.2 MILE EAST OF CARSON ROAD |
| QA Service Level | 1 (Verified on 03/18/2020) |
Sample Information
| Sample Taken Date | 10/01/2020 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 10/02/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 cylinders | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Osiel | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | LA METS QA Inspector | Telephone number of sampler | 5599740870 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Co-fab California, LLC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L123-095-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SCC S9 8 25FA |
|---|---|---|---|
| The truck number from where the sample was collected | Load 2 | The batch plant ticket number from where the sample was collected | 1111111 |
| Concrete batch plant | Confab Shafter ca | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | beside casting bed | 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: 2020-10-01-1-1 ASTM C39-17a (Verified)
DIME Test ID: 2020-10-01-1-2 ASTM C39-17a (Verified)