Sample Record
Owner Labs
- CT D04 - Fairfield Construction Field Office 59-545
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-11-12-21
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Project Information
| Project Identifiers | Project ID: 214562 DEA: 040J7104 EFIS: 0414000029 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-1.8/4.4 |
| Award Date | 03/17/2020 |
| Closeout Date | 02/29/2024 |
| Work Description | RAISE BRIDGE AND PLACE STRUCTURAL CONCRETE. |
| Location Description | SOLANO COUNTY IN VALLEJO AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 12/03/2019) |
Sample Information
| Sample Taken Date | 11/12/2021 | 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 | 11/17/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Benicia Approach Slab- Abut 1 |
| The quantity of what the sample constitutes | 6 cylinders | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Phu | Last name of sampler or witnessed by | Than |
| Title of sampler | Assitant Structural Rep | Telephone number of sampler | 510-867-6057 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | SYAR Napa | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Benicia Road OC - 23-0088 |
Material Information
| Material Type | Concrete | The concrete mix design number | CT072AC5 |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 881145439 |
| Concrete batch plant | Syar Napa Quarry | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Load 2 from tailgate | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-11-12-21-1 ASTM C39-17a (Verified)
DIME Test ID: 2021-11-12-21-2 ASTM C39-17a (Verified)