Sample Record
Owner Lab
- Con-Fab California Corporation - Lathrop
DIME Sample ID 2023-06-05-12
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 994090 DEA: 01434804 EFIS: 0100000672 |
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DIST-CO-RTE-PM | 01-MEN-1-62.0/62.3 |
Award Date | 10/21/2022 |
Closeout Date | Not set |
Work Description | Pudding Creek Bridge Widening |
Location Description | MENDOCINO COUNTY IN FORT BRAGG FROM ELM STREET TO PUDDING CREEK ROAD 421 |
QA Service Level | 1 (Verified on 07/11/2022) |
Sample Information
Sample Taken Date | 06/05/2023 | Sample Unique Key | 12 |
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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 | 06/06/2023 |
Sample type | Quality Control | A brief description of the sample | 1cubic ft. of Concrete for Testing |
The quantity of what the sample constitutes | 1cubic ft. of Concrete for Testing | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Mark Patrick | Last name of sampler or witnessed by | Baddu |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Con-Fab California, LLC | 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 | VER-85LV |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 8684 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Bed 2, 3rd 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-06-05-12-1 ASTM C39-21 (Verified)
DIME Test ID: 2023-06-05-12-2 ASTM C143-20 (Verified)
DIME Test ID: 2023-06-05-12-3 ASTM C1064-17 (Verified)
DIME Test ID: 2023-06-05-12-4 ASTM C138-17a (Verified)