Sample Record
Owner Lab
- CT D06 - Visalia Field Laboratory
DIME Sample ID 2023-01-20-51
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993301 DEA: 060U2804 EFIS: 0615000293 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-245-1.4,4.2 |
| Award Date | 01/03/2022 |
| Closeout Date | Not set |
| Work Description | PRECAST PRESTRESSED CONCRETE BOX GIRDER AND SLAB, BRIDGE REMOVAL. |
| Location Description | TULARE COUNTY NEAR WOODLAKE AT YOKOHL CREEK BRIDGE AND AT KAWEAH RIVER BRIDGE |
| QA Service Level | 1 (Verified on 10/11/2021) |
Sample Information
| Sample Taken Date | 01/20/2023 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 01/20/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1x4 concrete aggregates |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Shoaib | Last name of sampler or witnessed by | Ahmed |
| Title of sampler | Materials Tester II | Telephone number of sampler | 559 3414165 |
| Laboratory sample identification | 13 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Viking Ready Mix Visalia | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Kaweah- Yokohl Bridges Wood Land |
Material Information
| Material Type | Concrete | The concrete mix design number | ND22023 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 116206747 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | Viking Visalia Shirk Rd | |
| A detailed description of where the material sample was collected | 1x4 Concrete Agg | Where the material sample would have been placed if not sampled | bridge deck |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||