Sample Record

DIME Sample ID 2017-05-23-8

Project Information

Project IdentifiersProject ID: 211853
DEA: 042G8904
EFIS: 0400021259
DIST-CO-RTE-PM04-MRN-1-8.0
Award Date02/09/2017
Closeout Date12/22/2017
Work DescriptionSOLDIER PILE WALL WITH TIEBACKS AND EMBANKMENT CONFINED SYSTEM.
Location DescriptionMARIN COUNTY NEAR MUIR BEACH AT 2.1 MILES NORTH OF MUIR WOODS ROAD
QA Service Level1 (Verified on 03/15/2017)

Owner Lab

  • CT SC - 3672 - Petaluma

Sample Information

Sample Taken Date05/23/2017 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes2 6x12 concrete cylinders
From where was the sample collectedJob Site First name of sampler or witnessed byJanine
Last name of sampler or witnessed bymarr Title of samplerTransportation Engineer
Telephone number of sampler1-510-385-6764 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 nameRetaining Wall Ground Anchor
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number4201a
The truck number from where the sample was collected1208 The batch plant ticket number from where the sample was collected154830
Concrete batch plant1 The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedMix Truck Chute Where the material sample would have been placed if not sampledjobsite
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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