Sample Record
Owner Labs
- CT SC - 3674 - Pacifica 2
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-07-21-30
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994242 DEA: 042J7404 EFIS: 0415000010 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-0.9/23.4 |
| Award Date | 02/08/2023 |
| Closeout Date | Not set |
| Work Description | REMOVE BRIDGES (PORTIONS), BRIDGE BARRIERS, CONCRETE BARRIERS, & HMA. |
| Location Description | SAN MATEO COUNTY AT VARIOUS LOCATIONS FROM UNIVERSITY AVENUE OVERCROSSING TO SIERRA POINT OFF RAMP OVERCROSSING |
| QA Service Level | 1 (Verified on 09/28/2022) |
Sample Information
| Sample Taken Date | 07/21/2023 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 07/24/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Structural Concrete |
| The quantity of what the sample constitutes | 300 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Dorghalli |
| Title of sampler | ASR | Telephone number of sampler | 9166343999 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granite Rock | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 35-0081G | |
| Structure name | N101-S84 Connector |
Material Information
| Material Type | Concrete | The concrete mix design number | 57S590 |
|---|---|---|---|
| The truck number from where the sample was collected | 2340 | The batch plant ticket number from where the sample was collected | 108920 |
| Concrete batch plant | Graniterock | The fabricator/manufacturer designation for the sample | Graniterock |
| A detailed description of where the material sample was collected | Concrete sample from wheelbarrow | Where the material sample would have been placed if not sampled | Wingwall |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-07-21-30-1 ASTM C39-17a (Verified)