Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-06-29-1
Project Information
Project Identifiers | Project ID: 1000310 DEA: 041X5804 EFIS: 0424000402 |
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DIST-CO-RTE-PM | 04-SON-116-19.9 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Remove 12" AC overlay on the Jones Creek Bridge and Install precast pre-stressed slab girder. |
Location Description | Jones Creek Bridge (Bridge # 20-0094) in Sonoma 116 post mile 19.9 |
QA Service Level | 1 (Verified on 05/14/2024) |
Sample Information
Sample Taken Date | 06/29/2024 | Sample Unique Key | 1 |
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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 | 06/29/2024 |
Sample type | Quality Assurance | A brief description of the sample | 3x6 UHPC Cylinders |
The quantity of what the sample constitutes | 10 UHPC Cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Waqas | Last name of sampler or witnessed by | Ather |
Title of sampler | METS Rep | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Steelike | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | Unknown |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Mixer | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2024-06-29-1-1 ASTM C39-17a (Verified)