Sample Record
Owner Labs
- CT SC - 3672 - Santa Rosa
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-01-27-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212470 DEA: 044A1304 EFIS: 0400001106 COOP: 042718 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-18.5/18.5 |
| Award Date | 11/17/2023 |
| Closeout Date | Not set |
| Work Description | CONSISTS OF MODIFICATION AND RECONSTRUCTION OF THE EXISTING US 101/HEARN AVENUE INTERCHANGE IN SONOMA COUNTY, INCLUDING REPLACING THE EXISTING TWO-LANE HEARN AVENUE OVERCROSSING WITH A NEW OVERCROSSING, AND MODIFYING THE SOUTHBOUND OFF-RAMP IN CITY |
| Location Description | IN SONOMA COUNTY. |
| QA Service Level | 1 (Verified on 09/23/2019) |
Sample Information
| Sample Taken Date | 01/27/2025 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 02/11/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 100 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Keith | Last name of sampler or witnessed by | Iwamoto |
| Title of sampler | ASR | Telephone number of sampler | 5108676764 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Supperior Supplies, Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 20-0304 | |
| Structure name | Hearn Ave OC | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 590CR2 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 6 truck 57 | The batch plant ticket number from where the sample was collected | 308268 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| 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 | abutment 3 and wing walls |
| 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: 2025-01-27-22-1 ASTM C39-10 (Verified)