Sample Record
Owner Labs
- CT D03 - Olivehurst Northern Regional Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-04-29-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993905 DEA: 034H5814 EFIS: 0320000240 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-5-27.6/29.5,30.4/34.3 |
| Award Date | 02/28/2023 |
| Closeout Date | Not set |
| Work Description | ROADWAY EXCAVATION, PLACE CL2 AB, HMA & RHMA, & MODIFY RAMP METERS. |
| Location Description | SACRAMENTO COUNTY IN AND NEAR SACRAMENTO FROM 0.5 MILES SOUTH OF ARENA BOULEVARD OVERCROSSING TO 0.4 MILES SOUTH OF 99/5 INTERCHANGE AND FROM 0.5 MILES NORTH OF THE 99/5 INTERCHANGE TO 0.4 MILE SOUTH OF THE YOLO COUNTY LINE |
| QA Service Level | 1 (Verified on 06/27/2022) |
Sample Information
| Sample Taken Date | 04/29/2024 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 04/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Sampled from a placed concrete pile. |
| The quantity of what the sample constitutes | 6 4x8 FIELD CURE concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Phillip | Last name of sampler or witnessed by | Asher |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | 916-768-8293 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex - West Sacramento | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 24-0221 | |
| Structure name | Power Line Rd OC |
Material Information
| Material Type | Concrete | The concrete mix design number | 1620020 |
|---|---|---|---|
| The truck number from where the sample was collected | 10077239 | The batch plant ticket number from where the sample was collected | 42668183 |
| Concrete batch plant | Cemex West Sacramento | The fabricator/manufacturer designation for the sample | CEMEX |
| A detailed description of where the material sample was collected | A concrete pile placed near where the slope paving was being done for me to sample from. | Where the material sample would have been placed if not sampled | Slope Paving Abutment 3 |
| 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. | |||