Sample Record
Owner Lab
- Con-Fab California, LLC
DIME Sample ID 2020-10-30-1
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Project Information
| Project Identifiers | Project ID: 213700 DEA: 020H9004 EFIS: 0215000077 |
|---|---|
| DIST-CO-RTE-PM | 02-BUT-70-41.9/42.3 |
| Award Date | 05/07/2020 |
| Closeout Date | 11/01/2021 |
| Work Description | REMOVE CULVERTS AND CONSTRUCT BRIDGE |
| Location Description | BUTTE COUNTY NEAR PULGA FROM 2.5 MILES WEST OF PENSTOCK UNDERCROSSING TO 2.1 MILES WEST OF PENSTOCK UNDERCROSSING |
| QA Service Level | 1 (Verified on 01/03/2019) |
Sample Information
| Sample Taken Date | 10/30/2020 | 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 | 10/30/2020 |
| Sample type | Quality Control | A brief description of the sample | PCC 6"x12" test cylinder |
| The quantity of what the sample constitutes | 1 girder | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Roberto | Last name of sampler or witnessed by | Reyes |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 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 |
Material Information
| Material Type | Concrete | The concrete mix design number | SCC-S98-25FA |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 2636 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of 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: 2020-10-30-1-1 ASTM C39-18 (Verified)