Sample Record

Owner Lab

  • CT D10 - Turlock Structures Construction Field Office

DIME Sample ID 2023-06-07-66

Project Information

Project IdentifiersProject ID: 993493
DEA: 100Q1224
EFIS: 1014000168
DIST-CO-RTE-PM10-MER-99-28.2/R37.3
Award Date03/30/2022
Closeout DateNot set
Work DescriptionWIDEN CONCRETE PAVEMENT LANES AND BRIDGES.
Location DescriptionMERCED COUNTY IN AND NEAR LIVINGSTON FROM 0.8 MILE SOUTH OF HAMMATT AVENUE OVERCROSSING TO STANISLAUS COUNTY LINE
QA Service Level1 (Verified on 01/10/2022)

Sample Information

Sample Taken Date06/07/2023 Sample Unique Key66
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 testing06/19/2023
Sample typeQuality Assurance A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes60CY From where was the sample collectedJob Site
First name of sampler or witnessed byNatasha Last name of sampler or witnessed byCollins
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBuliders Concrete Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameEL CAPITAN WAY UC

Material Information

Material TypeConcrete The concrete mix design numberND22023
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected510146843
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedAPPROACH SLAB Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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