Sample Record

DIME Sample ID 2019-07-19-4

Project Information

Project IdentifiersProject ID: 213002
DEA: 042640N4
EFIS: 0412000649
DIST-CO-RTE-PM04-MRN,SON-101-MRN27.0/27.6SON0.0/4.5
Award Date04/09/2018
Closeout Date03/12/2021
Work DescriptionCONSTRUCT HOV LANES
Location DescriptionMARIN AND SONOMA COUNTIES IN AND NEAR PETALUMA FROM 0.6 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE TO 0.3 MILE SOUTH OF EAST WASHINGTON STREET OVER CROSSING
QA Service Level1 (Verified on 04/13/2018)

Owner Labs

  • CT SC - 3674 - Pacifica 2
  • CT HQ - Sacramento Concrete Testing Laboratory

Sample Information

Sample Taken Date07/19/2019 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample2 6x12 concrete cylinders The quantity of what the sample constitutes102 Cubic Yards
From where was the sample collectedJob Site First name of sampler or witnessed byP
Last name of sampler or witnessed byLatasa Title of samplerTEC
Telephone number of sampler707-246-0441 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 identifier20-E0088 Structure nameRW 97
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number4201A
The truck number from where the sample was collected1413 The batch plant ticket number from where the sample was collected479605
Concrete batch plantShamrock Petaluma The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledRW 97 Wall
From Lot No. Bag Lot No.

Submitted Tests

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