Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-01-27-17
Project Information
Project Identifiers | Project ID: 214114 DEA: 040A5394 EFIS: 0418000244 |
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DIST-CO-RTE-PM | 04-SOL-80,12-11.4/12.8, 2.1/2.8 |
Award Date | Not set |
Closeout Date | 02/24/2023 |
Work Description | Widen EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc. |
Location Description | I-80/I-680/Route 12 Interchange |
QA Service Level | 1 (Verified on 04/23/2019) |
Sample Information
Sample Taken Date | 01/27/2022 | Sample Unique Key | 17 |
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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 | 02/03/2022 |
Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 3 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | David | Last name of sampler or witnessed by | McClurry |
Title of sampler | ASR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cemex Yaqui | Transportation Laboratory (TL) Number | 051716 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 23-0258G | |
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | 1619674 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2022-01-27-17-1 ASTM C39-17a (Verified)