Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-09-07-52
Project Information
Project Identifiers | Project ID: 215486 DEA: 040A0204 EFIS: 0400000129 |
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DIST-CO-RTE-PM | 04-SON-1-15-15.7 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Construct roadway and bridge with structural concrete and CIDH piling |
Location Description | District-County-Route-Post Mile: 04-Son-1-R15.0/R15.7 |
QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
Sample Taken Date | 09/07/2022 | Sample Unique Key | 52 |
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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 | 09/13/2022 |
Sample type | Quality Assurance | A brief description of the sample | 4x8 cylinders |
The quantity of what the sample constitutes | 3 cylinders | 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 | ASR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | 93319 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | 72105093R |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | chute | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-09-07-52-1 ASTM C39-17a (Verified)