Sample Record
Owner Labs
- CT SC - 3672 - Novato Field Office
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-01-02-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-R20.8/27.1 |
| Award Date | 04/26/2022 |
| Closeout Date | Not set |
| Work Description | CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL. |
| Location Description | MARIN 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 Level | 1 (Verified on 11/01/2021) |
Sample Information
| Sample Taken Date | 01/02/2025 | Sample Unique Key | 12 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/02/2025 | Sample type | Quality Assurance |
| A brief description of the sample | structural concrete | The quantity of what the sample constitutes | 63 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Dia |
| Last name of sampler or witnessed by | Vy | Title of sampler | ASR |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Shamrock Materials | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | RW-12 Texture wall Pour-4 | |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SL-4201CG |
|---|---|---|---|
| The truck number from where the sample was collected | 2465 | The batch plant ticket number from where the sample was collected | 330930 |
| Concrete batch plant | 138 | The fabricator/manufacturer designation for the sample | Shamrock Materials |
| A detailed description of where the material sample was collected | Back of truck discharge chute | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-01-02-12-1 ASTM C1064-17
DIME Test ID: 2025-01-02-12-2 ASTM C143-15a
DIME Test ID: 2025-01-02-12-3 ASTM C39-17a (Verified)