Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-03-16-16
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212737 DEA: 060S8304 EFIS: 0615000046 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-5-44.4-45.4 |
| Award Date | 05/26/2022 |
| Closeout Date | Not set |
| Work Description | TUMEY GULCH ABUTMENT REHAB BR# 42-0246L/R. |
| Location Description | IN FRESNO COUNTY AT TUMEY GULCH. |
| QA Service Level | 1 (Verified on 09/25/2018) |
Sample Information
| Sample Taken Date | 03/16/2023 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 03/17/2023 |
| Sample type | Department Acceptance | A brief description of the sample | structural concrete |
| The quantity of what the sample constitutes | 300 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Angelica | Last name of sampler or witnessed by | Zarate |
| Title of sampler | inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 42-0246R | |
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | G67534S |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 419749 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow. | Where the material sample would have been placed if not sampled | Abut Backwall |
| 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: 2023-03-16-16-1 ASTM C39-18 (Verified)
DIME Test ID: 2023-03-16-16-2 ASTM C39-18 (Verified)