Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-04-02-12
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Project Information
| Project Identifiers | Project ID: 214873 DEA: 010F3104 EFIS: 0115000108 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-39.8 |
| Award Date | 05/28/2020 |
| Closeout Date | 10/07/2022 |
| Work Description | REMOVE REINFORCED CONCRETE BOX CULVERT AND CONSTRUCT BRIDGE. |
| Location Description | DEL NORTE COUNTY NEAR SMITH RIVER AT DOMINIE CREEK |
| QA Service Level | 1 (Verified on 06/04/2020) |
Sample Information
| Sample Taken Date | 04/02/2021 | 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 | 04/06/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 3x6 UHPC Cylinders |
| The quantity of what the sample constitutes | 21 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Uchenna | Last name of sampler or witnessed by | Nwogu |
| Title of sampler | LaFarge Rep | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | McCullough Construction Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Stage 2 UHPC Keyway between Box Girder G and H per Plan |
Material Information
| Material Type | Concrete | The concrete mix design number | JS1000 |
|---|---|---|---|
| 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 | Unknown | Where the material sample would have been placed if not sampled | |
| From Lot No. | RXX J1518 A1 | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-04-02-12-1 ASTM C39-17a (Verified)
DIME Test ID: 2021-04-02-12-2 ASTM C39-17a (Verified)
DIME Test ID: 2021-04-02-12-3 ASTM C39-17a (Verified)
DIME Test ID: 2021-04-02-12-4 ASTM C39-17a (Verified)