Sample Record
Owner Labs
- CT SC - 3674 - Pacifica 2
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-08-24-54
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 | 08/24/2023 | Sample Unique Key | 54 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 08/24/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 4 by 8 concrete |
| The quantity of what the sample constitutes | 300CY Concrete | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Seyoum | Last name of sampler or witnessed by | Workenh |
| Title of sampler | ASR | Telephone number of sampler | 6502227209 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Graniterock | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 35-0113 | |
| Structure name | University Ave, South bridge |
Material Information
| Material Type | Concrete | The concrete mix design number | 57S590 |
|---|---|---|---|
| The truck number from where the sample was collected | 2365 | The batch plant ticket number from where the sample was collected | 111163 |
| Concrete batch plant | Redwood city | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Bridge deck, concrete sample from wheel barrow | Where the material sample would have been placed if not sampled | Bridge deck |
| 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: 2023-08-24-54-1 ASTM C39-17a (Verified)