Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2014-07-28-9006112
Project Information
Project Identifiers | Project ID: 6919 DEA: 032A9204 EFIS: 0300000297 |
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DIST-CO-RTE-PM | 03-PLA,PLA-89-27.2/27.4,0.0/T8.5 |
Award Date | 04/10/2012 |
Closeout Date | 02/14/2018 |
Work Description | REHAB PAVEMENT AND DRAINAGE SYSTEM. |
Location Description | EL DORADO AND PLACER COUNTIES AT AND NEAR TAHOE CITY FROM 0.2 MILE SOUTH OF THE EL DORADO/PLACER COUNTY LINE TO THE TRUCKEE RIVER BRIDGE |
QA Service Level | 1 (Verified on 06/22/2012) |
Sample Information
Sample Taken Date | 07/28/2014 | Sample Unique Key | 9006112 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 08/01/2014 |
Sample type | Informational | A brief description of the sample | Sand Vault 41P |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Source |
First name of sampler or witnessed by | Ricardo | Last name of sampler or witnessed by | Medina |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | Not set | |
The fabricator/manufacturer/facility name | Oldcastle Truckee | 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 | 12 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 194331 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | By formwork at precast plant during pour inspection | Where the material sample would have been placed if not sampled | Not set |
From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |