Sample Record
Owner Labs
- CT D04 - Fairfield Construction Field Office 59-545
- CT HQ - Sacramento Docking Station Concrete Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-03-10-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-R10.4/30.2 |
| Award Date | 01/18/2022 |
| Closeout Date | Not set |
| Work Description | Highway widening, overhead signs, and electronic toll system. |
| Location Description | In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing. |
| QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
| Sample Taken Date | 03/10/2022 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 03/11/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Prequalification |
| The quantity of what the sample constitutes | 3 cy | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Mohan | Last name of sampler or witnessed by | Ayadurai |
| Title of sampler | Structure Representative | Telephone number of sampler | 510-867-6121 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | SYAR Dixon | 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 | CT072CR5W |
|---|---|---|---|
| The truck number from where the sample was collected | 8105 | The batch plant ticket number from where the sample was collected | 87063429 |
| Concrete batch plant | SYAR Dixon | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | This mix will be used in Approach Salbs | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-03-10-1-2 ASTM C39-17a (Verified)