Sample Record
Owner Lab
- CT SC - 3672 - Richmond
DIME Sample ID 2023-04-06-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214590 DEA: 043G4744 EFIS: 0412000074 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN,MRN-580-6.9/7.8,0.0/2.5 |
| Award Date | 01/14/2021 |
| Closeout Date | Not set |
| Work Description | CLEAN AND PAINT STRUCTURAL STEEL BRIDGE. |
| Location Description | CONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET |
| QA Service Level | 1 (Verified on 02/18/2020) |
Sample Information
| Sample Taken Date | 04/06/2023 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | Quality Assurance | A brief description of the sample | Four 6x12 - 7 days and 28 days |
| The quantity of what the sample constitutes | 1.14 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Quetzal | Last name of sampler or witnessed by | Cornejo Molina |
| Title of sampler | ASR | Telephone number of sampler | 5108676015 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Precision Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 28-0100 | |
| Structure name | Richmond-San Rafael Bridge |
Material Information
| Material Type | Rapid Set | Manufacturer | Precision Concrete |
|---|---|---|---|
| Mix no. | 80371TP | Materials Received | 1.14 CY |
| Lot no. | Truck #86 | Batch no. | Ticket #3101 |
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. | |||