Sample Record

Owner Labs

  • CT HQ - Sacramento Concrete Testing Laboratory
  • CT SC - 3674 - Pacifica 2

DIME Sample ID 2016-09-09-7

Project Information

Project IdentifiersProject ID: 209384
DEA: 04264094
EFIS: 0400000735
COOP: 042531
DIST-CO-RTE-PM04-,SON--
Award Date01/21/2016
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date09/09/2016 Sample Unique Key7
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 testingNot set
Sample typeQuality Assurance A brief description of the sample2 6x12 concrete cylinders
The quantity of what the sample constitutes128 CY From where was the sample collectedJob Site
First name of sampler or witnessed byMelvin Last name of sampler or witnessed byDumlao
Title of samplerTec Telephone number of sampler510)385-7179
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier270119
Structure nameSan Antonio Creek Bridge

Material Information

Material TypeConcrete The concrete mix design number4201a
The truck number from where the sample was collected1410 The batch plant ticket number from where the sample was collected443595
Concrete batch plant04 The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledCIDH Pile Pier 2 Col 1
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments