Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2016-05-06-8

Project Information

Project IdentifiersProject ID: 210798
DEA: 030G0304
EFIS: 0314000027
DIST-CO-RTE-PM03-ED,PLA-50,80,193-VAR
Award Date02/10/2016
Closeout Date11/30/2017
Work DescriptionRESURFACE BRIDGE DECKS, JOINT SEALS, CONCRETE BARRIER AND SLABS.
Location DescriptionIN EL DORADO AND PLACER COUNTIES ATVARIOUS LOCATIONS (FED SPES NUMBER 00PE015)
QA Service Level1 (Verified on 10/20/2015)

Sample Information

Sample Taken Date05/06/2016 Sample Unique Key8
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 testing05/06/2016
Sample typeQuality Control A brief description of the samplePatching mix
The quantity of what the sample constitutes2 bags From where was the sample collectedJob Site
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Numberc660235
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design number0000
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedunk
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedUnknown Where the material sample would have been placed if not sampledUnknown
From Lot No.3201241610 Bag Lot No.3201241610

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments