Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-06-28-2
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Project Information
| Project Identifiers | Project ID: 212897 DEA: 042J5604 EFIS: 0414000529 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-1-0.3 |
| Award Date | 11/09/2018 |
| Closeout Date | 12/17/2019 |
| Work Description | REPAIR ROADWAY SLIP-OUT |
| Location Description | IN MARIN COUNTY NEAR MILL VALLEY ROAD AT 0.1 MILE EAST OF TENNESSEE VALLEY ROAD |
| QA Service Level | 1 (Verified on 06/04/2019) |
Sample Information
| Sample Taken Date | 06/28/2019 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 07/03/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 8 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jeremy | Last name of sampler or witnessed by | Light |
| Title of sampler | Structure Representative | Telephone number of sampler | 5103939273 |
| Laboratory sample identification | 1-28-1 of 2, 2 of 2 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Superior Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 27-E0074 | |
| Structure name | Mill Valley Retaining Wall | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 675CIDH |
|---|---|---|---|
| The truck number from where the sample was collected | 0055 | The batch plant ticket number from where the sample was collected | 272556 |
| Concrete batch plant | Superior Supplier | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | from chute | Where the material sample would have been placed if not sampled | soldier piles |
| 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: 2019-06-28-2-1 ASTM C39-17a (Verified)