Sample Record

DIME Sample ID 2018-11-14-4

Project Information

Project IdentifiersProject ID: 209384
DEA: 04264094
EFIS: 0400000735
COOP: 042531
DIST-CO-RTE-PM04-,SON--
Award Date01/21/2016
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Owner Lab

  • CT SC - 3672 - Petaluma

Sample Information

Sample Taken Date11/14/2018 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing11/16/2018 Sample typeQuality Control
A brief description of the sample6X12 cylinders The quantity of what the sample constitutes163 Cy
From where was the sample collectedSource First name of sampler or witnessed byLha
Last name of sampler or witnessed byKyi Title of samplerASR
Telephone number of sampler1-707-333-4263 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 identifierRetaining Wall 3 Structure nameRetaining Wall 3
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number4201a
The truck number from where the sample was collected1435 The batch plant ticket number from where the sample was collected470906
Concrete batch plantShamrock Materials The fabricator/manufacturer designation for the sample6X12 Cylinders
A detailed description of where the material sample was collectedChute Where the material sample would have been placed if not sampledretaining wall 3
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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Sample File Attachments

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Test File Attachments