Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2022-07-13-45

Project Information

Project IdentifiersProject ID: 214562
DEA: 040J7104
EFIS: 0414000029
DIST-CO-RTE-PM04-SOL-80-1.8/4.4
Award Date03/17/2020
Closeout DateNot set
Work DescriptionRAISE BRIDGE AND PLACE STRUCTURAL CONCRETE.
Location DescriptionSOLANO COUNTY IN VALLEJO AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 12/03/2019)

Sample Information

Sample Taken Date07/13/2022 Sample Unique Key45
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 testing07/14/2022
Sample typeQuality Control A brief description of the sampleSamples for Abutment Seats
The quantity of what the sample constitutes45 CY From where was the sample collectedJob Site
First name of sampler or witnessed byBrandon Last name of sampler or witnessed byBiando
Title of samplerInspector Telephone number of sampler510-385-6306
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSyar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier23-0114
Structure nameRedwood Street OC

Material Information

Material TypeConcrete The concrete mix design numberCT072DR8M
The truck number from where the sample was collected8086 The batch plant ticket number from where the sample was collected02000067
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedFrom concrete truck on site Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments