Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-01-29-12
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Project Information
| Project Identifiers | Project ID: 214176 DEA: 033F0904 EFIS: 0312000056 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC,SJ-5,160-Var |
| Award Date | 10/10/2019 |
| Closeout Date | 10/27/2022 |
| Work Description | REPLACE STRUCTURAL CONCRETE BRIDGES, PLACE CIDH & CISS CONCRETE PILES. |
| Location Description | SACRAMENTO COUNTY AT NORTH SACRAMENTO UNDERCROSSING AND SACRAMENTO RIVER BRIDGE AND IN SAN JOAQUIN COUNTY AT MOKELUMNE RIVER BRIDGE |
| QA Service Level | 1 (Verified on 05/29/2019) |
Sample Information
| Sample Taken Date | 01/29/2021 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 02/01/2021 |
| 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 | Job Site |
| First name of sampler or witnessed by | Joshua | Last name of sampler or witnessed by | Mok |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CEMEX CACHE CREEK | Transportation Laboratory (TL) Number | 114314 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 615758 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Jobsite | 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: 2021-01-29-12-1 ASTM C39-17a (Verified)
DIME Test ID: 2021-01-29-12-2 ASTM C39-17a (Verified)