Sample Record

Owner Labs

  • CT HQ - Sacramento Concrete Testing Laboratory
  • CT D04 - Oakland (YBITS II) 171 Burma Road Field Laboratory

DIME Sample ID 2016-02-05-1

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 Date02/05/2016 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 testing02/05/2016
Sample typeVerification A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes32 From where was the sample collectedJob Site
First name of sampler or witnessed byThanh Last name of sampler or witnessed byLe
Title of samplerTED Telephone number of sampler415-823-6360
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 nameRetaining Wall 8

Material Information

Material TypeConcrete The concrete mix design numberD101C5E1
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected18165861
Concrete batch plant12 The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedEnd of the pump Where the material sample would have been placed if not sampledRetaining Wall Stem
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