Sample Record
Owner Lab
- CT SC - 3674 - Pacifica 2
DIME Sample ID 2015-04-02-4
Project Information
Project Identifiers | Project ID: 7566 DEA: 042640K4 EFIS: 0412000406 COOP: 0412458 |
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DIST-CO-RTE-PM | 04--- |
Award Date | 11/02/2012 |
Closeout Date | 06/03/2020 |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 1 (Verified on 06/03/2020) |
Sample Information
Sample Taken Date | 04/02/2015 | Sample Unique Key | 4 |
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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 | 04/10/2015 |
Sample type | Quality Assurance | A brief description of the sample | 4 2X6 Concrete Cylandars |
The quantity of what the sample constitutes | RW 179 Wall 8616 to 8712 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Harry | Last name of sampler or witnessed by | Suryantaro |
Title of sampler | TEC | Telephone number of sampler | 510) 385-7179 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | RW 179 St 8616 to 8712 | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | RW 179 Wall |
Structure name | RW 179 |
Material Information
Material Type | Concrete | The concrete mix design number | 4201a |
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The truck number from where the sample was collected | 1289 | The batch plant ticket number from where the sample was collected | 425029 |
Concrete batch plant | 04 | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | RW 179 Wall Staton 8616 to 8712 | 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: 2015-04-02-4-1 ASTM C39-10 (Verified)
DIME Test ID: 2015-04-02-4-2 ASTM C39-10 (Verified)