Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-02-20-6
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-R10.4/30.2 |
| Award Date | 01/18/2022 |
| Closeout Date | Not set |
| Work Description | Highway widening, overhead signs, and electronic toll system. |
| Location Description | In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing. |
| QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
| Sample Taken Date | 02/20/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 03/02/2023 |
| Sample type | Annual Source Testing | A brief description of the sample | PCC 3/8" PEA GRAVEL |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Trenton | Last name of sampler or witnessed by | Crosse |
| Title of sampler | QCLab Manager | Telephone number of sampler | 9166079151 |
| Laboratory sample identification | Con_23_195 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert Woodland | Transportation Laboratory (TL) Number | C727159 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Nick Hall | Structure unique identifier | |
| Structure name | N/A |
Material Information
| Material Type | Concrete | The concrete mix design number | source testing |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | no ticket | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | at the plant | Where the material sample would have been placed if not sampled | |
| 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. | |||