Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-12-06-20
Project Information
Project Identifiers | Project ID: 215396 DEA: 042K8404 EFIS: 0417000031 |
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DIST-CO-RTE-PM | 04-SOL-29,80-0.0,0.8/1.6 |
Award Date | 03/26/2021 |
Closeout Date | 02/16/2024 |
Work Description | HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR. |
Location Description | SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING |
QA Service Level | 1 (Verified on 01/25/2021) |
Sample Information
Sample Taken Date | 12/06/2022 | Sample Unique Key | 20 |
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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 | 12/16/2022 |
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 | Angelo | Last name of sampler or witnessed by | Perez |
Title of sampler | SR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | 211040 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | DDJ118E3 |
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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 | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2022-12-06-20-1 ASTM C39-17a (Verified)