Sample Record
Owner Lab
- CT D04 - Hayward Field Laboratory
DIME Sample ID 2023-02-19-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215003 DEA: 040J6204 EFIS: 0414000019 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-680-12.4/21.9 |
| Award Date | 04/12/2022 |
| Closeout Date | Not set |
| Work Description | REHABILITATE PAVEMENT - RPL APP/DEP SLABS, 14 BRIDGES |
| Location Description | ALAMEDA COUNTY AT SUNOL AND IN PLEASANTON AND DUBLIN FROM KOOPMANN ROAD UNDERCROSSING TO ALAMEDA COUNTY LINE |
| QA Service Level | 1 (Verified on 10/19/2020) |
Sample Information
| Sample Taken Date | 02/19/2023 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 02/20/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3- 6X6X21 Rapid Set Concrete Beams |
| The quantity of what the sample constitutes | 130cy | From where was the sample collected | Source |
| First name of sampler or witnessed by | Magana | Last name of sampler or witnessed by | Luis |
| Title of sampler | Telephone number of sampler | 2092250104 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Security Paving Portable Plant Pleasanton | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-22-PRS-319 |
|---|---|---|---|
| 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 | Concrete sample from truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | 22 | Bag Lot No. | 123 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-02-19-2-1 CTM 524-March 2013 (Verified)