Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2024-07-23-42
Project Information
Project Identifiers | Project ID: 1000259 DEA: 050N74V4 EFIS: 0522000043 |
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DIST-CO-RTE-PM | 05-SB-101-9.2/9.7 |
Award Date | 02/08/2024 |
Closeout Date | Not set |
Work Description | Not set |
Location Description | FOR CONSTRUCTION ON STATE HIGHWAY IN SANTA BARBARA COUNTY AT MONTECITO FROM 0.2 MILE NORTH OF SHEFFIELD DRIVE UNDERCROSSING TO 0.3 MILE SOUTH OF SAN YSIDRO ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 04/15/2024) |
Sample Information
Sample Taken Date | 07/23/2024 | Sample Unique Key | 42 |
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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 | 07/24/2024 |
Sample type | Quality Assurance | A brief description of the sample | 3 Cylinders |
The quantity of what the sample constitutes | 3 cylinders | From where was the sample collected | Source |
First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | KieCon Antioch | 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 | K5065-23137 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 121767 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Kiecon | 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: 2024-07-23-42-1 ASTM C39-21 (Verified)