Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2014-10-07-9
Project Information
Project Identifiers | Project ID: 7463 DEA: 042640U4 EFIS: 0412000195 |
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DIST-CO-RTE-PM | 04-SON-101-0.9/3.6 |
Award Date | 11/02/2012 |
Closeout Date | 06/03/2020 |
Work Description | CONSTRUCT PETALUMA BLVD SOUTH INTERCHANGE, REPLACE PETALUMA RIVER BR |
Location Description | SONOMA COUNTY IN AND NEAR PETALUMA FROM GUNN DRIVE TO ROUTE 101/116 SEPARATION AND OVERHEAD |
QA Service Level | 1 (Verified on 09/11/2012) |
Sample Information
Sample Taken Date | 10/07/2014 | Sample Unique Key | 9 |
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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 | 10/24/2014 |
Sample type | Quality Control | A brief description of the sample | concrete cylinders |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Other |
First name of sampler or witnessed by | Phil | Last name of sampler or witnessed by | Latasa |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | 258384 | 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 | 000000000000000 | |
Structure name | 000000000000 |
Material Information
Material Type | Concrete | The concrete mix design number | 00000000000 |
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The truck number from where the sample was collected | 00000000000000000 | The batch plant ticket number from where the sample was collected | 0000000000000000000000 |
Concrete batch plant | 0000000000000000 | The fabricator/manufacturer designation for the sample | 00000000000000000000 |
A detailed description of where the material sample was collected | Jobsite | 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: 2014-10-07-9-1 ASTM C39-10 (Verified)