Sample Record
Owner Labs
- CT D04 - Fairfield Construction Field Office 59-545
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-05-09-54
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215396 DEA: 042K8404 EFIS: 0417000031 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-29,80-0.0,0.8/1.6 |
| Award Date | 03/26/2021 |
| Closeout Date | 02/16/2024 |
| Work Description | HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR. |
| Location Description | SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 01/25/2021) |
Sample Information
| Sample Taken Date | 05/09/2023 | Sample Unique Key | 54 |
|---|---|---|---|
| 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 | 05/10/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Stage 3 Type 836 barrier |
| The quantity of what the sample constitutes | 21 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Nestor Angelo | Last name of sampler or witnessed by | Perez |
| Title of sampler | SR | Telephone number of sampler | 5103939319 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Central Plant Martinez | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 23-0259 | |
| Structure name | Route 80/29 Separation |
Material Information
| Material Type | Concrete | The concrete mix design number | D20115EA |
|---|---|---|---|
| The truck number from where the sample was collected | 4 | The batch plant ticket number from where the sample was collected | 335801 |
| Concrete batch plant | Central Plant Martinez | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | Stage 3 Type 836 barrier |
| From Lot No. | Bag Lot No. |
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. | |||