Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-11-30-836
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993346 DEA: 042K1904 EFIS: 0416000380 |
|---|---|
| DIST-CO-RTE-PM | 04-SF,SM-101,1-2.0-2.84,R44.2 |
| Award Date | 01/31/2022 |
| Closeout Date | Not set |
| Work Description | Bridge removal, struct conc bridge, clean-paint steel, MGS & lighting. |
| Location Description | CONSTRUCTION ON STATE HIGHWAY IN SAN MATEO COUNTY AND IN THE CITY AND COUNTY OF SAN FRANCISCO AT VARIOUS LOCATIONS. |
| QA Service Level | 1 (Verified on 03/14/2022) |
Sample Information
| Sample Taken Date | 11/30/2022 | Sample Unique Key | 836 |
|---|---|---|---|
| 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 | 12/12/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete 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 | T | Last name of sampler or witnessed by | Shady |
| 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 | 293751 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 111626117 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-11-30-836-1 ASTM C39-17a (Verified)