Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2015-12-01-3
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Project Information
| Project Identifiers | Project ID: 209135 DEA: 04235844 EFIS: 0400000684 COOP: 042493 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-16.3/17.06 |
| Award Date | 06/25/2014 |
| Closeout Date | 12/17/2019 |
| Work Description | RECONSTRUCT OVERCROSSING, RETAINING WALLS, GROUND IMPROVEMENT, |
| Location Description | BURLINGAME |
| QA Service Level | 1 (Verified on 10/03/2013) |
Sample Information
| Sample Taken Date | 12/01/2015 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 12/07/2015 |
| 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 | OSC | Last name of sampler or witnessed by | Personnel |
| 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 | 055104 |
| 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 | 577720 |
|---|---|---|---|
| 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 | cement mixer load 9 | Where the material sample would have been placed if not sampled | Broadway OC deck |
| 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: 2015-12-01-3-1 ASTM C39-17a (Verified)