Sample Record
Owner Labs
- CT HQ - Sacramento Concrete Testing Laboratory
- CT SC - 3676 - 106
DIME Sample ID 2016-08-31-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 210944 DEA: 044S1904 EFIS: 0400001215 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116-15.0 |
| Award Date | Not set |
| Closeout Date | 12/20/2017 |
| Work Description | CONSTRUCT PAVEMENT AND SOLDIER PILE WALL |
| Location Description | CONSTRUCT PAVEMENT AND SOLDIER PILE WALL |
| QA Service Level | 1 (Verified on 07/07/2016) |
Sample Information
| Sample Taken Date | 08/31/2016 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 27 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Faheem | Last name of sampler or witnessed by | Syed |
| Title of sampler | Transportation Engineer | Telephone number of sampler | 5107156545 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Shamrock | Transportation Laboratory (TL) Number | 256429 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 01-28-1/2,2/2-428 | Structure unique identifier | Unknown |
| Structure name | Canyon Creek Soldier Pile Wall |
Material Information
| Material Type | Concrete | The concrete mix design number | 4700 |
|---|---|---|---|
| The truck number from where the sample was collected | 1421 | The batch plant ticket number from where the sample was collected | 636064 |
| Concrete batch plant | Shamrock | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Revolving Truck | Where the material sample would have been placed if not sampled | Soldier Pile |
| 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. | |||