Sample Record

Owner Labs

  • CT HQ - Sacramento Concrete Testing Laboratory
  • CT D04 - Oakland (YBITS2) Field Laboratory

DIME Sample ID 2015-07-13-12

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 Date07/13/2015 Sample Unique Key12
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 testing08/06/2015
Sample typeDepartment Acceptance A brief description of the sampleAbutment 11 Wall
The quantity of what the sample constitutes2 cyliners From where was the sample collectedJob Site
First name of sampler or witnessed byNana Last name of sampler or witnessed byBudu
Title of samplerTE Civil Telephone number of sampler5103856767
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCentral Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierAbutment 11 Wall
Structure nameEB Onramp

Material Information

Material TypeConcrete The concrete mix design numberD101C5E1
The truck number from where the sample was collected1215 The batch plant ticket number from where the sample was collected18050237
Concrete batch plant12 The fabricator/manufacturer designation for the sampleMCM Construction
A detailed description of where the material sample was collectedBack of Truck 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 Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments