Sample Record
Owner Labs
- CT D03 - American River Bridge Field Office
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-09-27-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215794 DEA: 030H6704 EFIS: 0316000005 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-51,99-0.0/0.1,10.0/R24.3 |
| Award Date | 06/17/2022 |
| Closeout Date | Not set |
| Work Description | INSTALL FIBER OPTIC CABLE SYSTEMS & CONSTRUCT MVPS. |
| Location Description | SACRAMENTO COUNTY IN AND NEAR ELK GROVE AND SACRAMENTO ON ROUTE 99 FROM GRANT LINE ROAD TO ROUTE 50 AND ON ROUTE 51 FROM ROUTE 50 TO 0.1 MILE SOUTH OF THE FORT SUTTER VIADUCT |
| QA Service Level | 1 (Verified on 09/13/2021) |
Sample Information
| Sample Taken Date | 09/27/2023 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 09/28/2023 |
| Sample type | Quality Assurance | A brief description of the sample | type II/V |
| The quantity of what the sample constitutes | 45 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Rob | Last name of sampler or witnessed by | Ramos |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CEMEX / west sac | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | CIDH CCTV - NB Florin |
Material Information
| Material Type | Concrete | The concrete mix design number | 1615674 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 85618212 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | wheelbarrow | Where the material sample would have been placed if not sampled | CIDH |
| 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: 2023-09-27-3-1 ASTM C39-17a (Verified)