Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-03-17-12
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 |
---|---|
DIST-CO-RTE-PM | 03-SAC-5-9.7/24.9 |
Award Date | 05/01/2019 |
Closeout Date | 02/22/2024 |
Work Description | Not set |
Location Description | Construction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct |
QA Service Level | 1 (Verified on 07/19/2019) |
Sample Information
Sample Taken Date | 03/17/2021 | 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 | 03/19/2021 |
Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | V | Last name of sampler or witnessed by | Vong |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | 132960 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Sign structure AS-180 South Land Park |
Material Information
Material Type | Concrete | The concrete mix design number | 0000000000 |
---|---|---|---|
The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 00000000000000000 | |
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: 2021-03-17-12-1 ASTM C39-17a (Verified)