Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2023-01-26-38
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215739 DEA: 010G2104 EFIS: 0116000137 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-21.2 |
| Award Date | 07/15/2021 |
| Closeout Date | 06/22/2023 |
| Work Description | CONSTRUCT RETAINING WALL AND GUARDRAIL AND EARTHWORK. |
| Location Description | DEL NORTE COUNTY NEAR CRESCENT CITY AT 0.2 MILE NORTH OF CUSHING CREEK VIADUCT 01-0076 |
| QA Service Level | 1 (Verified on 05/17/2021) |
Sample Information
| Sample Taken Date | 01/26/2023 | Sample Unique Key | 38 |
|---|---|---|---|
| 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 | 01/30/2023 |
| Sample type | Verification | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | Unknown | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Pedroni | Last name of sampler or witnessed by | Joe |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | C0148 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | 281154 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | unknown |
|---|---|---|---|
| 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 | waler 5 |
| 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: 2023-01-26-38-1 CTM 521-June 2020 (Verified)