Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2015-05-28-3
Project Information
Project Identifiers | Project ID: 7566 DEA: 042640K4 EFIS: 0412000406 COOP: 0412458 |
---|---|
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 | 05/28/2015 | Sample Unique Key | 3 |
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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 | 06/10/2015 |
Sample type | Quality Assurance | A brief description of the sample | 2 6x12 concrete cylinders |
The quantity of what the sample constitutes | Crash Wall Footing Bent 3 Col. 1 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Melvin | Last name of sampler or witnessed by | Dumlao |
Title of sampler | ASR | Telephone number of sampler | 5017147638 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | job site | Transportation Laboratory (TL) Number | C936502 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Crash Wall Footing |
Structure name | Crash Wall |
Material Information
Material Type | Concrete | The concrete mix design number | 4201a |
---|---|---|---|
The truck number from where the sample was collected | 1953 | The batch plant ticket number from where the sample was collected | 426568 |
Concrete batch plant | 04 | The fabricator/manufacturer designation for the sample | Shamrock |
A detailed description of where the material sample was collected | crash wall footing along Bent 3 Column 1 | Where the material sample would have been placed if not sampled | Crash Wall |
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: 2015-05-28-3-2 ASTM C39-10 (Verified)