Sample Record
Owner Lab
- CT SC - 3676 - 106
DIME Sample ID 2016-08-30-5
Project Information
Project Identifiers | Project ID: 210814 DEA: 041J3204 EFIS: 0414000190 |
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DIST-CO-RTE-PM | 04-SON-116-13.7 |
Award Date | 03/08/2016 |
Closeout Date | 12/19/2017 |
Work Description | REPLACE RETAINING WALL, DRAINAGE, AND HMA RESURFACING. |
Location Description | REPLACE RETAINING WALL, DRAINAGE, AND HMA RESURFACING. |
QA Service Level | 1 (Verified on 09/18/2015) |
Sample Information
Sample Taken Date | 08/30/2016 | Sample Unique Key | 5 |
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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 | 09/07/2016 |
Sample type | Acceptance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 23.5 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Pamela | Last name of sampler or witnessed by | Gagnier |
Title of sampler | TE | Telephone number of sampler | 707-694-4751 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | 01-07-1/2,2/2-424 |
The fabricator/manufacturer/facility name | Canyon Rock Co Inc | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | 256424 | Structure unique identifier | 041J3204 |
Structure name | Retaining Wall Pocket Creek |
Material Information
Material Type | Concrete | The concrete mix design number | 72102503F |
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The truck number from where the sample was collected | 253 | The batch plant ticket number from where the sample was collected | 1154543 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
A detailed description of where the material sample was collected | from mix truck | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |