Sample Record
Owner Lab
- CT D03 - Sacramento Sanders Structures Construction Field Office
DIME Sample ID 2015-02-27-2
Project Information
Project Identifiers | Project ID: 210035 DEA: 101E4704 EFIS: 1015000052 |
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DIST-CO-RTE-PM | 10-SJ-4,004-19.75,17.2 |
Award Date | Not set |
Closeout Date | 01/22/2020 |
Work Description | Repair Bridge Girder due to high load hit |
Location Description | At Route 4/99 Separation (#29-0155) |
QA Service Level | 1 (Verified on 11/05/2014) |
Sample Information
Sample Taken Date | 02/27/2015 | Sample Unique Key | 2 |
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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 | Not set |
Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 4 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Brandon | Last name of sampler or witnessed by | Miller |
Title of sampler | ASR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | job site | 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 | 1523017 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 41527820 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | from the truck | 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
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2015-02-27-2-1 ASTM C39-10 (Verified)
DIME Test ID: 2015-02-27-2-2 ASTM C39-10 (Verified)