Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2014-07-28-9006112

Project Information

Project IdentifiersProject ID: 6919
DEA: 032A9204
EFIS: 0300000297
DIST-CO-RTE-PM03-PLA,PLA-89-27.2/27.4,0.0/T8.5
Award Date04/10/2012
Closeout Date02/14/2018
Work DescriptionREHAB PAVEMENT AND DRAINAGE SYSTEM.
Location DescriptionEL 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 Level1 (Verified on 06/22/2012)

Sample Information

Sample Taken Date07/28/2014 Sample Unique Key9006112
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 testing08/01/2014
Sample typeInformational A brief description of the sampleSand Vault 41P
The quantity of what the sample constitutes2 From where was the sample collectedSource
First name of sampler or witnessed byRicardo Last name of sampler or witnessed byMedina
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameOldcastle Truckee 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 number12
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected194331
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBy formwork at precast plant during pour inspection Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments