Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2015-02-03-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 208959 DEA: 04265604 EFIS: 0400000743 COOP: 042390A1 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-1-40.64/40.95 |
| Award Date | 03/10/2014 |
| Closeout Date | 01/29/2018 |
| Work Description | REPLACEMENT OF THE EXISTING SAN PEDRO CREEK BRIDGE |
| Location Description | ON ROUTE 1 IN SAN MATEO COUNTY |
| QA Service Level | 1 (Verified on 03/25/2014) |
Sample Information
| Sample Taken Date | 02/03/2015 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 02/04/2015 |
| Sample type | Informational | A brief description of the sample | Voided Slab |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Simion | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | KieCon | Transportation Laboratory (TL) Number | 87379 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Unknown | |
| Structure name | Voided Slab |
Material Information
| Material Type | Concrete | The concrete mix design number | K5060503A |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 00000 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | source | 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
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2015-02-03-3-1 | ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | William Sommer, CT HQ - QASI Bay Area Field Office | 02/10/2015 | William Sommer | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-02-03-3-1 ASTM C39-10