Sample Record
Owner Lab
- CT SC - 3667 - Chico
DIME Sample ID 2024-08-29-32
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994309 DEA: 033H5404 EFIS: 0318000012 |
|---|---|
| DIST-CO-RTE-PM | 03-BUT-70-46.0/47.0 |
| Award Date | 02/10/2023 |
| Closeout Date | Not set |
| Work Description | RAISE ALIGNMENT, PLACE HMA, STRUCTURAL CONCRETE & BRIDGE RAIL. |
| Location Description | BUTTE COUNTY NEAR PARADISE FROM 0.8 MILE WEST OF SHADY REST AREA TO 0.2 MILE EAST OF SHADY REST AREA |
| QA Service Level | 1 (Verified on 10/04/2022) |
Sample Information
| Sample Taken Date | 08/29/2024 | Sample Unique Key | 32 |
|---|---|---|---|
| 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 | 08/30/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Type II/V Concrete |
| The quantity of what the sample constitutes | 18 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Charmbury |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mathews Readymix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 12-E0008 | |
| Structure name | Wall #1 Wall Facing |
Material Information
| Material Type | Concrete | The concrete mix design number | G7215PA |
|---|---|---|---|
| The truck number from where the sample was collected | 863 | The batch plant ticket number from where the sample was collected | 16029043 |
| Concrete batch plant | Mathews Readymix Oroville | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | Wall #1 Wall facing near Abut. 1 |
| 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. | |||