Sample Record
Owner Lab
- CT D10 - Turlock Structures Construction Field Office
DIME Sample ID 2023-06-07-65
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993493 DEA: 100Q1224 EFIS: 1014000168 |
|---|---|
| DIST-CO-RTE-PM | 10-MER-99-28.2/R37.3 |
| Award Date | Not set |
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||