Sample Record
Owner Labs
- Wood
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-11-01-130
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214627 DEA: 05344904 EFIS: 0500000505 |
|---|---|
| DIST-CO-RTE-PM | 05-SBT-156-3/R8.2 |
| Award Date | 05/19/2022 |
| Closeout Date | Not set |
| Work Description | SAN BENITO ROUTE 156 IMPROVEMENT PROJECT SAN BENITO RTE 156 IMPROVEMENT PROJECT; INCLUDES NEW BRIDGE AND WIDENING OF EXISTING BRIDGE. |
| Location Description | SAN BENITO COUNTY IN AND NEAR SAN JUAN BAUTISTA FROM THE ALAMEDA TO 0.2 MILE EAST OF FOURTH STREET/BUSINESS ROUTE 156 |
| QA Service Level | 1 (Verified on 01/14/2020) |
Sample Information
| Sample Taken Date | 11/01/2023 | Sample Unique Key | 130 |
|---|---|---|---|
| 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 | 12/07/2023 |
| Sample type | Authorization | A brief description of the sample | 4" Dia. Concrete Cyl. |
| The quantity of what the sample constitutes | Mix Design | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Romiza |
| Title of sampler | TET B | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert | 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 | 58LCB1454 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | na | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | 58LCB1454-1 | |
| A detailed description of where the material sample was collected | bulk | Where the material sample would have been placed if not sampled | |
| 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: 2023-11-01-130-1 AASHTO T336-15 (Verified)