Sample Record
Owner Lab
- Jensen Precast - Lockford
DIME Sample ID 2022-09-14-56
Project Information
Project Identifiers | Project ID: 88887 DEA: PC-Barrier-STOCK EFIS: PC-Barrier-STOCK |
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DIST-CO-RTE-PM | 59--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project for precast barrier rail stock material. |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 09/14/2022 | Sample Unique Key | 56 |
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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 | 09/14/2022 |
Sample type | Quality Control | A brief description of the sample | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 18.16 yards | From where was the sample collected | Source |
First name of sampler or witnessed by | Joshua | Last name of sampler or witnessed by | Violett |
Title of sampler | QC Technician | Telephone number of sampler | 916-992-8316 |
Laboratory sample identification | 100006010-4 | Linked DIME Sample ID | 100006010-4 |
The fabricator/manufacturer/facility name | Jensen Precast | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | 12404 | Structure unique identifier | 04-200050664 |
Structure name | JJ-Hooks Barrier |
Material Information
Material Type | Concrete | The concrete mix design number | 100006010 |
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The truck number from where the sample was collected | stationary mixer | The batch plant ticket number from where the sample was collected | 2022091510004 |
Concrete batch plant | Jensen Precast | The fabricator/manufacturer designation for the sample | zone 1 |
A detailed description of where the material sample was collected | zone 1 | Where the material sample would have been placed if not sampled | zone 1 |
From Lot No. | 12404 | Bag Lot No. | 12404 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-09-14-56-1 ASTM C1064-12 (Verified)