Sample Record
Owner Lab
- Con-Fab California Corporation - Lathrop
DIME Sample ID 2021-06-11-9
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Project Information
| Project Identifiers | Project ID: 215424 DEA: 024G4404 EFIS: 0214000013 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-3-38.0/38.6 |
| Award Date | 04/05/2021 |
| Closeout Date | 08/14/2023 |
| Work Description | BRIDGE REPLACEMENT |
| Location Description | SISKIYOU COUNTY ABOUT 6 MILES NORTH OF FORT JONES FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF LOWER MOFFETT CREEK ROAD |
| QA Service Level | 1 (Verified on 01/19/2021) |
Sample Information
| Sample Taken Date | 06/11/2021 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 06/12/2021 |
| Sample type | Quality Control | A brief description of the sample | Concrete 6 x 12 Cylinders |
| The quantity of what the sample constitutes | 2 6x12 concrete cylinders | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Mark Patrick | Last name of sampler or witnessed by | Baddu |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ConFab 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 | 98LV25AF |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 3381 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Bed 1B, 3rd 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: 2021-06-11-9-1 ASTM C39-10 (Verified)
DIME Test ID: 2021-06-11-9-2 CTM TEMP1-16 (Verified)