Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-05-26-25
Project Information
Project Identifiers | Project ID: 214899 DEA: 033H4504 EFIS: 0318000001 |
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DIST-CO-RTE-PM | 03-ED-50-33.8/34.2 |
Award Date | 07/29/2020 |
Closeout Date | Not set |
Work Description | CONSTRUCT RW, WIDEN RDWY, COLD PLANE AC PVMT, & HMA OVERLAY. |
Location Description | EL DORADO COUNTY AT FRESH POND FROM 0.6 TO 0.2 MILE WEST OF FOREST ROAD/OUTER LIMITS LANE |
QA Service Level | 1 (Verified on 04/15/2020) |
Sample Information
Sample Taken Date | 05/26/2022 | Sample Unique Key | 25 |
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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 | 05/27/2022 |
Sample type | Quality Assurance | A brief description of the sample | 2" Cubes |
The quantity of what the sample constitutes | 9 Grout Cubes | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Dave | Last name of sampler or witnessed by | Carlin |
Title of sampler | SR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Grout Plant | Transportation Laboratory (TL) Number | C799080 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Fresh Pond Retaining Wall |
Material Information
Material Type | Cementitious | Brand | Grout |
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Mill | Grout | Type of Cementitious Material | Blended Cement |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-05-26-25-1 ASTM C109-16a (Verified)
DIME Test ID: 2022-05-26-25-2 ASTM C109-16a (Verified)
DIME Test ID: 2022-05-26-25-3 ASTM C109-16a (Verified)