Sample Record
Owner Lab
- CT D04 - Richmond Field Laboratory
DIME Sample ID 2024-04-30-56
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994803 DEA: 043J0704 EFIS: 0415000077 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-80-10.1/13.5 |
| Award Date | 03/10/2023 |
| Closeout Date | Not set |
| Work Description | Remove PCC and AC, place PCP and AC Resurfacing. |
| Location Description | Construction on State Highway in Contra Costa County in Hercules and Crockett from Route 80/4 separation to 0.1 mile west of Crockett Viaduct. |
| QA Service Level | 1 (Verified on 05/10/2023) |
Sample Information
| Sample Taken Date | 04/30/2024 | Sample Unique Key | 56 |
|---|---|---|---|
| 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 | 05/01/2024 |
| Sample type | Independent Assurance | A brief description of the sample | PCC Rapid set beams |
| The quantity of what the sample constitutes | 3 beams | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | IGNACIO | Last name of sampler or witnessed by | ARECHIGA |
| Title of sampler | Technician | Telephone number of sampler | 5102077252 |
| Laboratory sample identification | Rich_24_034 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vanguard | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | HWY 80 Lane 1/ Willow RD |
Material Information
| Material Type | Concrete | The concrete mix design number | HE4x4BM |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 141004 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | On Job Site at Concrete Truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-04-30-56-1 CTM 524-March 2013 (Verified)
DIME Test ID: 2024-04-30-56-2 CTM 524-March 2013 (Verified)