Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-10-10-33
Project Information
Project Identifiers | Project ID: 212896 DEA: 04160304 EFIS: 0400000429 |
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DIST-CO-RTE-PM | 04-ALA-84-13.1/13.5 |
Award Date | 12/15/2020 |
Closeout Date | Not set |
Work Description | NILES CANYON ALAMEDA CREEK BRIDGE REPLACEMENT |
Location Description | IN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036). |
QA Service Level | 1 (Verified on 09/16/2019) |
Sample Information
Sample Taken Date | 10/10/2022 | Sample Unique Key | 33 |
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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 | 10/13/2022 |
Sample type | Quality Assurance | A brief description of the sample | 4x8 |
The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Tristen | Last name of sampler or witnessed by | Sayre |
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 | 294902 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | D101C5RS |
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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 | from mix truck | 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: 2022-10-10-33-1 ASTM C39-10 (Verified)