Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-10-21-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215132 DEA: 051M6404 EFIS: 0520000045 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-101-37/46, 37.0-46.0 |
| Award Date | 06/22/2020 |
| Closeout Date | 08/23/2021 |
| Work Description | Atascadero Slab Replacement - replace JPCP with precast pavement panels (Procast) |
| Location Description | US 101 near Atascadero |
| QA Service Level | 1 (Verified on 08/26/2020) |
Sample Information
| Sample Taken Date | 10/21/2020 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 10/22/2020 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylindes |
| The quantity of what the sample constitutes | 4 cylinders | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Rigoberto | Last name of sampler or witnessed by | Marin |
| Title of sampler | QA Inspector | Telephone number of sampler | 9515000685 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pro-cast Products Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L133 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM14062 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 3 | The batch plant ticket number from where the sample was collected | 5749581 |
| Concrete batch plant | Robertson | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | by the 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: 2020-10-21-6-1 ASTM C39-17a (Verified)
DIME Test ID: 2020-10-21-6-2 ASTM C39-17a (Verified)