Sample Record
Owner Labs
- CT D04 - Fairfield Construction Field Office 59-545
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-10-08-6
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Project Information
| Project Identifiers | Project ID: 214562 DEA: 040J7104 EFIS: 0414000029 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-1.8/4.4 |
| Award Date | 03/17/2020 |
| Closeout Date | 02/29/2024 |
| Work Description | RAISE BRIDGE AND PLACE STRUCTURAL CONCRETE. |
| Location Description | SOLANO COUNTY IN VALLEJO AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 12/03/2019) |
Sample Information
| Sample Taken Date | 10/08/2021 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 10/11/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Abutment Seats |
| The quantity of what the sample constitutes | 3 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mohan | Last name of sampler or witnessed by | Ayadurai |
| Title of sampler | TE Civil | Telephone number of sampler | 510-867-6121 |
| Laboratory sample identification | 7 | Linked DIME Sample ID | NA |
| The fabricator/manufacturer/facility name | Syar Lake Herman | Transportation Laboratory (TL) Number | TL-502 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | 23-0088 |
| Structure name | Benicia Road OC |
Material Information
| Material Type | Concrete | The concrete mix design number | CT063AC5 |
|---|---|---|---|
| The truck number from where the sample was collected | 8090 | The batch plant ticket number from where the sample was collected | 81145168 |
| Concrete batch plant | Syar Industries Lake Herman | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | wheelbarrow | Where the material sample would have been placed if not sampled | Jobsite Wingwall |
| 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: 2021-10-08-6-1 ASTM C39-17a (Verified)