Sample Record

Owner Labs

  • CT SC - 3672 - Novato Field Office
  • CT HQ - Vallejo Field Laboratory

DIME Sample ID 2024-12-03-38

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date12/03/2024 Sample Unique Key38
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 testing12/03/2024
Sample typeQuality Assurance A brief description of the samplestructural concrete
The quantity of what the sample constitutes108 CY From where was the sample collectedJob Site
First name of sampler or witnessed byMohammed Salman Last name of sampler or witnessed byAlam
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameFranklin Walkway and RW-7 Stem wall

Material Information

Material TypeConcrete The concrete mix design numberSL-4201CG
The truck number from where the sample was collected2443 The batch plant ticket number from where the sample was collected323776
Concrete batch plant138 The fabricator/manufacturer designation for the sampleShamrock Materials
A detailed description of where the material sample was collectedBack of Truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-12-03-38-1ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteMohammed Salman Alam, CT SC - 3672 - Novato Field Office12/03/2024Mohammed Salman Alam
No
Info
2024-12-03-38-2ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement ConcreteMohammed Salman Alam, CT SC - 3672 - Novato Field Office12/03/2024Mohammed Salman Alam
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2024-12-03-38-1 ASTM C1064-17
DIME Test ID: 2024-12-03-38-2 ASTM C143-15a