Sample Record
DIME Sample ID 2017-03-08-1
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Project Information
| Project Identifiers | Project ID: 210871 DEA: 044G4604 EFIS: 0412000480 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-1.5/14.0 |
| Award Date | 01/28/2016 |
| Closeout Date | 10/17/2019 |
| Work Description | REMOVE EXISTING AND CONSTRUCT NEW BRIDGE RAILINGS. |
| Location Description | IN MARIN COUNTY, AT VARIOUS LOCATION, FROM SPENCER AVE OVERCROSSING TO NORTH BRANCHGALLINAS CREEK BRIDGE |
| QA Service Level | 1 (Verified on 01/12/2016) |
Owner Labs
- CT SC - 3672 - Petaluma
- CT HQ - Sacramento Cement Testing Laboratory
Sample Information
| Sample Taken Date | 03/08/2017 | Sample Unique Key | 1 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | Not set | Sample type | Quality Assurance |
| A brief description of the sample | 2 6x12 concrete cylinders | The quantity of what the sample constitutes | Barrier Type 80 |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Harry |
| Last name of sampler or witnessed by | Suryantoro | Title of sampler | ASR |
| Telephone number of sampler | 1-707-653-9427 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Shamrock | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | 270008K | Structure name | Corte Madera Creek Bridge |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 4700 |
|---|---|---|---|
| The truck number from where the sample was collected | 1216 | The batch plant ticket number from where the sample was collected | 151841 |
| Concrete batch plant | 01 | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | CHUTE OF TRUCK | Where the material sample would have been placed if not sampled | 4378 |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||