Sample Record
Owner Labs
- CT D04 - Fairfield Construction Field Office 59-545
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-04-24-29
Project Information
Project Identifiers | Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676 |
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DIST-CO-RTE-PM | 04-SOL-80-R10.4/30.2 |
Award Date | 01/18/2022 |
Closeout Date | Not set |
Work Description | Highway widening, overhead signs, and electronic toll system. |
Location Description | In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing. |
QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
Sample Taken Date | 04/24/2024 | Sample Unique Key | 29 |
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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 | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 3 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jeffrey | Last name of sampler or witnessed by | Douglas |
Title of sampler | ASR | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cemex Dixon | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Davis Bent 4 Center Column |
Material Information
Material Type | Concrete | The concrete mix design number | 1615759 |
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The truck number from where the sample was collected | 10077030 | The batch plant ticket number from where the sample was collected | 31174984 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Back of truck | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |