Sample Record
Owner Lab
- CT D10 - Turlock Structures Construction Field Office
DIME Sample ID 2023-06-07-65
Project Information
Project Identifiers | Project ID: 993493 DEA: 100Q1224 EFIS: 1014000168 |
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DIST-CO-RTE-PM | 10-MER-99-28.2/R37.3 |
Award Date | 03/30/2022 |
Closeout Date | Not set |
Work Description | WIDEN CONCRETE PAVEMENT LANES AND BRIDGES. |
Location Description | MERCED COUNTY IN AND NEAR LIVINGSTON FROM 0.8 MILE SOUTH OF HAMMATT AVENUE OVERCROSSING TO STANISLAUS COUNTY LINE |
QA Service Level | 1 (Verified on 01/10/2022) |
Sample Information
Sample Taken Date | 06/07/2023 | Sample Unique Key | 65 |
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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 | 06/19/2023 |
Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 60CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Natasha | Last name of sampler or witnessed by | Collins |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Buliders Concrete | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | EL CAPITAN WAY UC6 |
Material Information
Material Type | Concrete | The concrete mix design number | ND22023 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 510146843 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | approach slab | Where the material sample would have been placed if not sampled | |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |