Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2016-05-25-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 208944 DEA: 07187224 EFIS: 0700000189 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-126-R6.8/R9.2 |
| Award Date | Not set |
| Closeout Date | 08/19/2021 |
| Work Description | SR 126/Commerce Center Drive Interchange Project |
| Location Description | Northwest of the City of Santa Clarita in unincorporated Los Angeles County |
| QA Service Level | 1 (Verified on 08/01/2013) |
Sample Information
| Sample Taken Date | 05/25/2016 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 05/25/2016 |
| Sample type | Quality Control | A brief description of the sample | rapid set patching |
| The quantity of what the sample constitutes | Unknown | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dave | Last name of sampler or witnessed by | Dubois |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | rapid set | Transportation Laboratory (TL) Number | C1216 |
| 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 | Unknown | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
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. | |||