Sample Record
Owner Labs
- CT SC - 3674 - Pacifica 2
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-01-22-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994776 DEA: 043Y5004 EFIS: 0423000254 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-84-17.9, 17.9/17.9, 17.01/18.76 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Emergency slide repair on HWY 84 in Woodside |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 05/02/2023) |
Sample Information
| Sample Taken Date | 01/22/2024 | 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 | 01/25/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 4" Diameter PCC Cylinders |
| The quantity of what the sample constitutes | 60 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Abbas | Last name of sampler or witnessed by | Iranmanesh |
| Title of sampler | SR | Telephone number of sampler | 510-714-7094 |
| 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 |
Material Information
| Material Type | Concrete | The concrete mix design number | D10115EA |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 532815 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | On Job Site at Concrete Truck | Where the material sample would have been placed if not sampled | Concrete Waler |
| 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: 2024-01-22-3-1 ASTM C39-17a (Verified)
DIME Test ID: 2024-01-22-3-2 ASTM C39-17a (Verified)
DIME Test ID: 2024-01-22-3-3 ASTM C39-17a (Verified)