Sample Record

Owner Labs

  • CT HQ - Sacramento Structural Materials Testing Laboratory
  • CT YBITS2 - Oakland Field Laboratory

DIME Sample ID 2015-05-22-10

Project Information

Project IdentifiersProject ID: 7285
DEA: 040120T4
EFIS: 0400000027
DIST-CO-RTE-PM04-SF-80-12.6/13.9
Award Date11/27/2012
Closeout DateNot set
Work DescriptionCONSTRUCT BRIDGE, ROADWAYS, ELECTRICAL, BUILDINGS AND REMOVE BRIDGES
Location DescriptionTHE CITY AND COUNTY OF SAN FRANCISCO FROM THE YERBA BUENA TUNNEL TO 1.3 KM EAST OF THE YERBA BUENA TUNNEL
QA Service Level1 (Verified on 10/29/2012)

Sample Information

Sample Taken Date05/22/2015 Sample Unique Key10
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeAcceptance A brief description of the sampleStem and Soffit W8 to W10
The quantity of what the sample constitutes359 From where was the sample collectedJob Site
First name of sampler or witnessed byBrandon Young Last name of sampler or witnessed byYoung
Title of samplerASR Telephone number of sampler510 858 7727
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCentral Concrete Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberD101C5E1
The truck number from where the sample was collected6 The batch plant ticket number from where the sample was collected18025052
Concrete batch plantPeralta The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedNear W10 Where the material sample would have been placed if not sampled
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.