Sample Record

Owner Labs

  • CT D04 - Oakland (YBITS2) Field Laboratory
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2016-01-08-1

Project Information

Project IdentifiersProject ID: 7285
DEA: 040120T4
EFIS: 0400000027
DIST-CO-RTE-PM04-SF-80-12.6/13.9
Award Date11/27/2012
Closeout DateNot set
Work DescriptionCONSTRUCT BRIDGE, ROADWAYS, ELECTRICAL, BUILDINGS AND REMOVE BRIDGES
Location DescriptionTHE CITY AND COUNTY OF SAN FRANCISCO FROM THE YERBA BUENA TUNNEL TO 1.3 KM EAST OF THE YERBA BUENA TUNNEL
QA Service Level1 (Verified on 10/29/2012)

Sample Information

Sample Taken Date01/08/2016 Sample Unique Key1
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 testing01/13/2016
Sample typeQuality Assurance A brief description of the sample6 X 12 Concrete Cylinder
The quantity of what the sample constitutes2 concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byChetan Last name of sampler or witnessed bySihra
Title of samplerASR Telephone number of sampler4158236360
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCentral Concrete Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameYBI EB OnRamp

Material Information

Material TypeConcrete The concrete mix design numberD101C5E1
The truck number from where the sample was collected1214 The batch plant ticket number from where the sample was collected18151455
Concrete batch plant12 The fabricator/manufacturer designation for the sampleClass 1 Concrete
A detailed description of where the material sample was collectedConcrete from the truck Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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

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Test File Attachments