Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-09-19-1

Project Information

Project IdentifiersProject ID: 209284
DEA: 032F21U3
EFIS: 0313000172
COOP: 03130001724
DIST-CO-RTE-PM03-SAC-50-2.5/0.6
Award Date12/20/2013
Closeout Date03/22/2016
Work DescriptionNOTIFY SMR BEFORE RESPONDING TO ANY REQUESTS FOR INSPECTION OR TESTING.The Design Build project will place overlay, replace bridge joint seals and/or joint seal assemblies, and correct drainage issues on Sacramento River Viaduct and West End Viaduct.
Location DescriptionUS Route 50 from PM 2.5 in Yolo County through PM 0.6 in Sacramento County; Route I-5 from
QA Service Level1 (Verified on 01/16/2014)

Sample Information

Sample Taken Date09/19/2014 Sample Unique Key1
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 testing09/19/2014
Sample typeVerification A brief description of the sampleconcrete cylinders
The quantity of what the sample constitutes2 concrete cylinders From where was the sample collectedSource
First name of sampler or witnessed byP Last name of sampler or witnessed byHayes
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample IDNot set
The fabricator/manufacturer/facility namena 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 number1442087
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedna
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedtruck 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
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Test File Attachments