Sample Record
Owner Labs
- CT HQ - Sacramento Concrete Testing Laboratory
- CT SC - 3674 - San Jose
DIME Sample ID 2015-09-10-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209187 DEA: 04235624 EFIS: 0400000678 COOP: 042583 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL,SM-101-52.0/52.6,0.0/0.6 |
| Award Date | 04/28/2015 |
| Closeout Date | 01/08/2020 |
| Work Description | BRIDGE REPLACEMENT |
| Location Description | SANTA CLARA AND SAN MATEO COUNTIES IN PALO ALTO AND EAST PALO ALTO FROM OREGON EXPRESSWAY OVERCROSSING TO 0.3 MILE SOUTH OF UNIVERSITY AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 12/11/2013) |
Sample Information
| Sample Taken Date | 09/10/2015 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Verification | A brief description of the sample | 4 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Clement | Last name of sampler or witnessed by | Chan |
| Title of sampler | ASR | Telephone number of sampler | 650-222-7514 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Central Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 087864 | Structure unique identifier | |
| Structure name | San Francisquito Creek Bridge |
Material Information
| Material Type | Concrete | The concrete mix design number | D15PP562 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 18086523 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | truck chute | Where the material sample would have been placed if not sampled | |
| From Lot No. | Not set | Bag Lot No. | Not set |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-09-10-2-1 ASTM C143-15a (Verified)