Sample Record
Owner Lab
- CT HQ - Sacramento Docking Station Concrete Laboratory
DIME Sample ID 2014-10-06-2
Project Information
Project Identifiers | Project ID: 208959 DEA: 04265604 EFIS: 0400000743 COOP: 042390A1 |
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DIST-CO-RTE-PM | 04-SM-1-40.64/40.95 |
Award Date | 03/10/2014 |
Closeout Date | 01/29/2018 |
Work Description | REPLACEMENT OF THE EXISTING SAN PEDRO CREEK BRIDGE |
Location Description | ON ROUTE 1 IN SAN MATEO COUNTY |
QA Service Level | 1 (Verified on 03/25/2014) |
Sample Information
Sample Taken Date | 10/06/2014 | Sample Unique Key | 2 |
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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 | 10/14/2014 |
Sample type | Verification | A brief description of the sample | Concrete cylinders |
The quantity of what the sample constitutes | 4 | From where was the sample collected | Other |
First name of sampler or witnessed by | Bryan | Last name of sampler or witnessed by | Nagid |
Title of sampler | ASR | Telephone number of sampler | 510-385-6910 |
Laboratory sample identification | 201454 | Linked DIME Sample ID | 0 |
The fabricator/manufacturer/facility name | NA | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Unknown | |
Structure name | San Pedro Creek |
Material Information
Material Type | Concrete | The concrete mix design number | D15PP562 |
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The truck number from where the sample was collected | 1679 | The batch plant ticket number from where the sample was collected | 18906313 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | From the truck | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2014-10-06-2-1 ASTM C39-10 (Verified)