Sample Record
Owner Lab
- CT D03 - Sacramento Sanders Structures Construction Field Office
DIME Sample ID 2014-09-04-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209175 DEA: 030F2204 EFIS: 0300000072 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-R30.7/R31.7 |
| Award Date | 02/25/2014 |
| Closeout Date | 07/30/2015 |
| Work Description | REPLACE BRIDGE. |
| Location Description | SLY PARK UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/01/2013) |
Sample Information
| Sample Taken Date | 09/04/2014 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 09/05/2014 |
| Sample type | Verification | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 concrete cylinders | From where was the sample collected | Other |
| First name of sampler or witnessed by | Alfredo | Last name of sampler or witnessed by | Carranza |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | (916) 203-5039 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | 0 |
| The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 25 0042 | |
| Structure name | Sly Park Rd UC |
Material Information
| Material Type | Concrete | The concrete mix design number | F628AFST0 |
|---|---|---|---|
| The truck number from where the sample was collected | 27 | The batch plant ticket number from where the sample was collected | 1049273 |
| Concrete batch plant | 1A | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow | 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2014-09-04-12-1 ASTM C1064-08 (Verified)
DIME Test ID: 2014-09-04-12-2 ASTM C143-10a (Verified)