Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-12-16-4
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Project Information
| Project Identifiers | Project ID: 212522 DEA: 043S9004 EFIS: 0400001043 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-1-6.6, 6.60 |
| Award Date | 07/21/2017 |
| Closeout Date | 09/19/2018 |
| Work Description | CONSTRUCT SOLDIER PILE WALL |
| Location Description | IN MARIN NEAR MUIR BEACH AT 0.3 MILE NORTH OF SEACAPE DRIVE |
| QA Service Level | 1 (Verified on 07/17/2017) |
Sample Information
| Sample Taken Date | 12/16/2017 | Sample Unique Key | 4 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 01/12/2018 |
| Sample type | Quality Assurance | A brief description of the sample | concrete from Waler |
| The quantity of what the sample constitutes | 2 6x12 concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Janine | Last name of sampler or witnessed by | Marr |
| Title of sampler | SR | Telephone number of sampler | 5103856764 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Shamrock | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 4201a |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | Shamrock | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | waler |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-12-16-4-1 ASTM C39-10 (Verified)