Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2014-08-20-21
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Project Information
| Project Identifiers | Project ID: 208679 DEA: 100S1104 EFIS: 1000000229 COOP: 10406 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-4,5-Var |
| Award Date | 12/16/2013 |
| Closeout Date | 01/03/2019 |
| Work Description | SR-4 FREEWAY EXTENSION |
| Location Description | IN SAN JOAQUIN COUNTY |
| QA Service Level | 1 (Verified on 03/25/2013) |
Sample Information
| Sample Taken Date | 08/20/2014 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 09/16/2014 |
| Sample type | Verification | A brief description of the sample | concrete cylinders |
| The quantity of what the sample constitutes | 2 concrete cylinders | From where was the sample collected | Source |
| First name of sampler or witnessed by | ferity | Last name of sampler or witnessed by | rosal |
| Title of sampler | qc confab | Telephone number of sampler | |
| Laboratory sample identification | 80523 | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | ConFab | 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 | V9525F |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | conco | |
| 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 QC 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||