Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Cement Testing Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2019-11-04-6
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Project Information
| Project Identifiers | Project ID: 213652 DEA: 04151614 EFIS: 0414000446 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-0.0/9.0 |
| Award Date | 12/17/2018 |
| Closeout Date | 05/24/2022 |
| Work Description | RAMP METERING, RAMP WIDENING, TOS ELEMENTS |
| Location Description | MARIN COUNTY IN AND NEAR CORTE MADERA , SAUSALITO , MILL VALLEY , LARKSPUR AND AT MARIN CITY FROM NORTH OF THE GOLDEN GATE BRIDGE (SAUSALITO LATERAL) TO 0.3 MILE NORTH OF SIR FRANCIS DRAKE BOULEVARD |
| QA Service Level | 1 (Verified on 04/11/2019) |
Sample Information
| Sample Taken Date | 11/04/2019 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 11/21/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 40cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Janine | Last name of sampler or witnessed by | Marr |
| Title of sampler | Structure Representative | Telephone number of sampler | 5103856764 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock Materials | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 4201A |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | Shamrock san rafael |
| Concrete batch plant | san rafael | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | chute | Where the material sample would have been placed if not sampled | CIDH pile |
| 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: 2019-11-04-6-2 ASTM C39-17a (Verified)