Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2015-02-27-3
Project Information
Project Identifiers | Project ID: 209135 DEA: 04235844 EFIS: 0400000684 COOP: 042493 |
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DIST-CO-RTE-PM | 04-SM-101-16.3/17.06 |
Award Date | 06/25/2014 |
Closeout Date | 12/17/2019 |
Work Description | RECONSTRUCT OVERCROSSING, RETAINING WALLS, GROUND IMPROVEMENT, |
Location Description | BURLINGAME |
QA Service Level | 1 (Verified on 10/03/2013) |
Sample Information
Sample Taken Date | 02/27/2015 | Sample Unique Key | 3 |
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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 | 03/02/2015 |
Sample type | Informational | A brief description of the sample | 6x12 cylinders |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Justin | Last name of sampler or witnessed by | Palmaymesa |
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 | 192454 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
Structure name | Wide Flange Girder |
Material Information
Material Type | Concrete | The concrete mix design number | K6080605 |
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The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 64340 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | Kiecon | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |