Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-07-19-11
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Project Information
| Project Identifiers | Project ID: 213002 DEA: 042640N4 EFIS: 0412000649 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN,SON-101-MRN27.0/27.6SON0.0/4.5 |
| Award Date | 04/09/2018 |
| Closeout Date | 03/12/2021 |
| Work Description | CONSTRUCT HOV LANES |
| Location Description | MARIN 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 Level | 1 (Verified on 04/13/2018) |
Sample Information
| Sample Taken Date | 07/19/2019 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 07/25/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | two cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | P | Last name of sampler or witnessed by | Latasa |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | NA | Transportation Laboratory (TL) Number | 280654 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 4201 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 000000 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Job site | Where the material sample would have been placed if not sampled | Unknown |
| 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: 2019-07-19-11-1 ASTM C39-17a (Verified)