Sample Record
Owner Labs
- CT SC - 3672 - Santa Rosa
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-04-06-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994425 DEA: 040K5204 EFIS: 0416000098 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-12-11.0/T17.4 |
| Award Date | 03/21/2023 |
| Closeout Date | Not set |
| Work Description | Overlay with RHMA, replace guardrails, approach slabs and signs. |
| Location Description | Construction on State Highway in Sonoma County from Llano Road to Farmers Lane. |
| QA Service Level | 1 (Verified on 12/07/2022) |
Sample Information
| Sample Taken Date | 04/06/2024 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 04/26/2024 |
| Sample type | Quality Assurance | A brief description of the sample | RSC |
| The quantity of what the sample constitutes | 1200CY | From where was the sample collected | Source |
| First name of sampler or witnessed by | Varun | Last name of sampler or witnessed by | Galla |
| Title of sampler | ASR | Telephone number of sampler | 9164252912 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vanguard | 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 | he4x12bm |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 5 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | wheelbarrow | 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. | |||