Sample Record

DIME Sample ID 2016-12-27-6

Project Information

Project IdentifiersProject ID: 210871
DEA: 044G4604
EFIS: 0412000480
DIST-CO-RTE-PM04-MRN-101-1.5/14.0
Award Date01/28/2016
Closeout Date10/17/2019
Work DescriptionREMOVE EXISTING AND CONSTRUCT NEW BRIDGE RAILINGS.
Location DescriptionIN MARIN COUNTY, AT VARIOUS LOCATION, FROM SPENCER AVE OVERCROSSING TO NORTH BRANCHGALLINAS CREEK BRIDGE
QA Service Level1 (Verified on 01/12/2016)

Owner Labs

  • CT SC - 3672 - Petaluma
  • CT HQ - Sacramento Concrete Testing Laboratory

Sample Information

Sample Taken Date12/27/2016 Sample Unique Key6
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 constitutes6 Cy
From where was the sample collectedJob Site First name of sampler or witnessed byHarry
Last name of sampler or witnessed bySuryantoro Title of samplerASC
Telephone number of sampler707-653-9427 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 identifier270008K Structure nameCorte Madera Creek Bridge
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number4700
The truck number from where the sample was collected1208 The batch plant ticket number from where the sample was collected151684
Concrete batch plant01 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 sampledType 80 Barrier Rail
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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