Sample Record

Owner Lab

  • Universal Precast Concrete - Redding

DIME Sample ID 2021-09-17-13

Project Information

Project IdentifiersProject ID: 212775
DEA: 024F2204
EFIS: 0212000073
DIST-CO-RTE-PM02-TRI-3-58.7/61.9
Award Date02/25/2021
Closeout Date05/06/2024
Work DescriptionREPLACE STRUCTURAL CONCRETE BRIDGE AND CULVERTS AND PLACE HMA.
Location DescriptionTRINITY COUNTY NEAR TRINITY CENTER FROM 58.7 MILES NORTH OF PREACHER MEADOWS ROAD TO 60.7 MILES SOUTH OF EL DORADO WAY
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date09/17/2021 Sample Unique Key13
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 testing09/17/2021
Sample typeQuality Control A brief description of the sampleconc cylinder
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byDan Last name of sampler or witnessed byWeippert
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUniversal Precast Concrete Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberPC78A0E1
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected001894
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedback of truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments