Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2015-11-11-18
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Project Information
| Project Identifiers | Project ID: 209060 DEA: 041A2904 EFIS: 0400000482 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-12-9.6 |
| Award Date | 03/11/2014 |
| Closeout Date | 01/10/2019 |
| Work Description | REPLACE BRIDGE AND WIDEN APPROACHES. |
| Location Description | SONOMA COUNTY NEAR THE CITY OF SEBASTOPOL AT LAGUNA DE SANTA ROSA BRIDGE |
| QA Service Level | 1 (Verified on 01/23/2014) |
Sample Information
| Sample Taken Date | 11/11/2015 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 11/16/2015 |
| Sample type | Quality Control | A brief description of the sample | concrete |
| The quantity of what the sample constitutes | cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Keith | Last name of sampler or witnessed by | Iwamoto |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | unknown | Transportation Laboratory (TL) Number | 018323 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 7181SRA |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | unknown |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | forms | Where the material sample would have been placed if not sampled | abut 4 app slab |
| From Lot No. | Not set | Bag Lot No. | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-11-11-18-1 ASTM C39-17a (Verified)