Sample Record
Owner Lab
- CT SC - 3672 - Richmond
DIME Sample ID 2023-10-23-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993184 DEA: 040A7724 EFIS: 0420000288 COOP: 042763 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-80-6.4/6.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Excavation, HMA, structural concrete, minor concrete and drainage. |
| Location Description | IN BERKELEY AND ALBANY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.3 MILE SOUTH OF EL CERRITO SEPARATION AND OVERHEAD |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 10/23/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 10/24/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 cylinders |
| The quantity of what the sample constitutes | 12CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jingan | Last name of sampler or witnessed by | Chen |
| Title of sampler | ASR | Telephone number of sampler | 510-506-3387 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Central Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | OS2-1 CIDH |
Material Information
| Material Type | Concrete | The concrete mix design number | ddlsp8q3 |
|---|---|---|---|
| The truck number from where the sample was collected | 6241 | The batch plant ticket number from where the sample was collected | 466224 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Pump truck hopper | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||