Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-10-23-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213653 DEA: 044G8204 EFIS: 0413000049 |
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DIST-CO-RTE-PM | 04-MRN-101-10.6/10.8 |
Award Date | 05/05/2020 |
Closeout Date | 08/14/2023 |
Work Description | REPLACE SAN RAFAEL HARBOR BRIDGE (ABC) |
Location Description | MARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET |
QA Service Level | 1 (Verified on 05/31/2019) |
Sample Information
Sample Taken Date | 10/23/2021 | Sample Unique Key | 1 |
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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 | 10/25/2021 |
Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Harry | Last name of sampler or witnessed by | Suryantoro |
Title of sampler | ASR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CEMEX Victorville | Transportation Laboratory (TL) Number | 222512 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | San Rafael Harbor |
Material Information
Material Type | Concrete | The concrete mix design number | DVOP0500 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Stationary mixer | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-10-23-1-1 ASTM C39-17a (Verified)