Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-09-21-59
Project Information
Project Identifiers | Project ID: 215063 DEA: 032F5704 EFIS: 0300020615 |
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DIST-CO-RTE-PM | 03-PLA-80-46.3/63.5 |
Award Date | 09/23/2020 |
Closeout Date | 08/11/2023 |
Work Description | Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay) |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/16/2020) |
Sample Information
Sample Taken Date | 09/21/2021 | Sample Unique Key | 59 |
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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 | 09/22/2021 |
Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 2 - 6x12 cylinders | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Andre | Last name of sampler or witnessed by | Totari |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Kie-Con Antioch | 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 | 00000 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 00000 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Batch Truck | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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2021-09-21-59-1 | ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | Andre Totari, CT HQ - QASI Bay Area Field Office | 10/19/2021 | Andre Totari | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-09-21-59-1 ASTM C39-10