Sample Record
Owner Labs
- CT SC - 3665 - Shingle Springs
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2016-03-17-1
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Project Information
| Project Identifiers | Project ID: 211254 DEA: 031H4804 EFIS: 0316000165 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-193-23.4, 23.4, 23.4, 23.4, 23.40 |
| Award Date | 01/30/2016 |
| Closeout Date | 12/08/2017 |
| Work Description | Emergency Slope Failure -Replace remaining section of gabion wall with soldier pile tieback wall and reconstruct roadway |
| Location Description | El Dorado 193 |
| QA Service Level | 1 (Verified on 03/07/2016) |
Sample Information
| Sample Taken Date | 03/17/2016 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 03/18/2016 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 4 6x12 concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Hayes |
| Title of sampler | ASR | Telephone number of sampler | 530 682 6224 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Syar Cameron Park | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Anchored Soldier Pile Wall |
Material Information
| Material Type | Concrete | The concrete mix design number | CT054CR5 |
|---|---|---|---|
| The truck number from where the sample was collected | 8053 | The batch plant ticket number from where the sample was collected | 41020304 |
| Concrete batch plant | 41 | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow | Where the material sample would have been placed if not sampled | Concrete Backfill for Soldier Pile |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-03-17-1-1 ASTM C39-17a (Verified)
DIME Test ID: 2016-03-17-1-2 ASTM C39-17a (Verified)