Sample Record

DIME Sample ID 2018-11-14-7

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 Labs

  • CT SC - 3672 - Petaluma
  • CT HQ - Sacramento Concrete Testing Laboratory

Sample Information

Sample Taken Date11/14/2018 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testing11/30/2018 Sample typeQuality Control
A brief description of the sample6X12 cylinders The quantity of what the sample constitutes2 6x12 concrete cylinders
From where was the sample collectedJob Site First name of sampler or witnessed byHarry
Last name of sampler or witnessed bySuryantoro 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 identifier Structure nameSan Antonio Creek Bridge
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number4201A
The truck number from where the sample was collected1443 The batch plant ticket number from where the sample was collected471494
Concrete batch plantShamrock Materials The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute discharge into wheel barrel Where the material sample would have been placed if not sampledbridge barrier
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