Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-05-23-34
Project Information
Project Identifiers | Project ID: 215317 DEA: 101J0104 EFIS: 1018000079 |
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DIST-CO-RTE-PM | 10-CAL,CAL-88,34-34.6/2.2 |
Award Date | 05/19/2022 |
Closeout Date | 11/16/2023 |
Work Description | Construct fuel island canopies. |
Location Description | In Calaveras and Alpine counties on Route 26 at the West Point Maintenance Station and on Route 88 at the Caples Lake Maintenance Station. |
QA Service Level | 1 (Verified on 07/29/2022) |
Sample Information
Sample Taken Date | 05/23/2023 | Sample Unique Key | 34 |
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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 | 05/25/2023 |
Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 3 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | D | Last name of sampler or witnessed by | Kulak |
Title of sampler | ASR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | 102514 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | D673A |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Unknown | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-05-23-34-1 ASTM C39-17a (Verified)