Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2016-04-21-5
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Project Information
| Project Identifiers | Project ID: 208852 DEA: 040A5344 EFIS: 0400021131 COOP: 042491 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80,80-R11.4/13.0 |
| Award Date | 03/19/2014 |
| Closeout Date | 10/12/2018 |
| Work Description | REALIGN I-680 TO CONNECT DIRECTLY WITH THE I-80/SR-12 INTERCHANGE. |
| Location Description | IN SOLANO COUNTY NEAR FAIRFIELD. |
| QA Service Level | 1 (Verified on 10/17/2013) |
Sample Information
| Sample Taken Date | 04/21/2016 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 04/22/2016 |
| Sample type | Quality Control | A brief description of the sample | CONCRETE |
| The quantity of what the sample constitutes | CYLINDERS | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Stiltz |
| Title of sampler | Structures Rep | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | 210613 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | unknown |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | unknown |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | load 1 | Where the material sample would have been placed if not sampled | GUR abut 1 |
| 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: 2016-04-21-5-1 ASTM C39-17a (Verified)