Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-05-13-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993754 DEA: 033J0804 EFIS: 0322000184 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC/SAC-99-2.36/2.36 |
| Award Date | 03/22/2022 |
| Closeout Date | 07/26/2023 |
| Work Description | Site preparation, remove and replace structural section, reset fence, remove and replace unsound concrete and rebar, remove and replace structure backfill, minor HMA, traffic control, and incidental work. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/21/2022) |
Sample Information
| Sample Taken Date | 05/13/2022 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 05/16/2022 |
| 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 | Jim | Last name of sampler or witnessed by | Ngo |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | 197330 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 547 |
|---|---|---|---|
| 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 | Truck | 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: 2022-05-13-17-1 ASTM C39-17a (Verified)