Sample Record
Owner Lab
- CT SC - 3672 - Petaluma
DIME Sample ID 2026-01-13-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000731 DEA: 042Q4404 EFIS: 0419000013 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-121-6.5,8.4 |
| Award Date | 04/07/2025 |
| Closeout Date | Not set |
| Work Description | REMOVE BR AND AC SURF, CONSTRUCT BR DECK, RAILING AND POLYESTER CONC. |
| Location Description | SONOMA COUNTY NEAR SONOMA AT YELLOW CREEK BRIDGE AND AT ARROYO SECO BRIDGE |
| QA Service Level | 1 (Verified on 10/16/2024) |
Sample Information
| Sample Taken Date | 01/13/2026 | 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 | 02/05/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 3 4x8 cylinders |
| The quantity of what the sample constitutes | 9 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mohammed Salman | Last name of sampler or witnessed by | Alam |
| Title of sampler | ASR | Telephone number of sampler | 5104354230 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock Materials Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 20-0021 | |
| Structure name | Yellow Creek Br. Paving Notch Northbound | Bid Item | 38 - PAVING NOTCH EXTENSION (MODIFIED) |
Material Information
| Material Type | Concrete | The concrete mix design number | D20115E1 |
|---|---|---|---|
| The truck number from where the sample was collected | 2428 | The batch plant ticket number from where the sample was collected | 986495 |
| 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 | 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: 2026-01-13-22-1 ASTM C39-17a (Verified)