Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-02-25-14
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215043 DEA: 041W2104 EFIS: 0420000347 |
---|---|
DIST-CO-RTE-PM | 04-ALA,ALA-880-14.5, 14.54 |
Award Date | 06/05/2020 |
Closeout Date | 08/09/2021 |
Work Description | Repair concrete girder, deck, barrier rail |
Location Description | Industrial Blvd OC, NB 880 (bridge 33-0398) |
QA Service Level | 1 (Verified on 06/25/2020) |
Sample Information
Sample Taken Date | 02/25/2021 | Sample Unique Key | 14 |
---|---|---|---|
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 | 03/09/2021 |
Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 6 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Clint | Last name of sampler or witnessed by | Williams |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | 195995 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Industrial Pkwy OC deck |
Material Information
Material Type | Concrete | The concrete mix design number | D101C5RS |
---|---|---|---|
The truck number from where the sample was collected | 1678 | The batch plant ticket number from where the sample was collected | 0000000000000000 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | 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: 2021-02-25-14-1 ASTM C39-17a (Verified)
DIME Test ID: 2021-02-25-14-2 ASTM C39-17a (Verified)