Sample Record
Owner Lab
- Con-Fab California Corporation - Lathrop
DIME Sample ID 2022-04-27-11
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Project Information
| Project Identifiers | Project ID: 214681 DEA: 021H5104 EFIS: 0216000148 |
|---|---|
| DIST-CO-RTE-PM | 02-TEH-99-9.0/9.3 |
| Award Date | 11/04/2021 |
| Closeout Date | 08/14/2023 |
| Work Description | CHAMPLIN SLOUGH |
| Location Description | REPLACE BRIDGE IN TEHAMA COUNTY NEAR LOS MOLINOS FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF CHAMPLIN SLOUGH |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 04/27/2022 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 04/27/2022 |
| Sample type | Quality Control | A brief description of the sample | 1 cubic ft. of Concrete taken from middle of batching |
| The quantity of what the sample constitutes | 1 cubic ft. of Concrete for Testing | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Mark Patrick | Last name of sampler or witnessed by | Baddu |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Con-Fab California, LLC | 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 | VER-85LV |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 4872 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Bed 1A, Middle of 3rdTruck | 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: 2022-04-27-11-1 ASTM C39-21 (Verified)
DIME Test ID: 2022-04-27-11-2 ASTM C1064-17 (Verified)
DIME Test ID: 2022-04-27-11-3 ASTM C143-20 (Verified)
DIME Test ID: 2022-04-27-11-4 ASTM C39-21 (Verified)