Sample Record

Owner Lab

  • CT D04 - Petaluma Field Laboratory

DIME Sample ID 2024-11-15-67

Sample is locked from editing. info

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 Date11/15/2024 Sample Unique Key67
Date that the sample was received by the laboratory/organization performing the testing11/15/2024 Sample typeQuality Assurance
A brief description of the samplePCC The quantity of what the sample constitutes2 BAGS
From where was the sample collectedManufacturer First name of sampler or witnessed byRoland
Last name of sampler or witnessed byOcansey Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameShamrock Petaluma
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameRW7 STEM WALL LOL
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)ORCA
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedCONVEYER BELT
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberSL4201CG Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2024-11-15-67-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAnthony Valdez, CT D04 - Petaluma Field Laboratory03/12/202503/12/2025
Yes
03/12/2025Failed 3/8' sievePublic - Test Data Visible

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-11-15-67-1 CTM 202-November 2011 (Verified)