Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-04-05-29
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 | 04/05/2023 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 04/12/2023 |
| Sample type | Quality Assurance | A brief description of the sample | concrete cylinders |
| The quantity of what the sample constitutes | 4 concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Cornejo | Last name of sampler or witnessed by | Molina |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Unkown | 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 | 80371TP |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 3101 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | truck | Where the material sample would have been placed if not sampled | |
| 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: 2023-04-05-29-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-04-05-29-2 ASTM C39-17a (Verified)