Sample Record
Owner Lab
- Disney Construction, Incorporated
DIME Sample ID 2021-07-30-27
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Project Information
| Project Identifiers | Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-8.4 |
| Award Date | 11/30/2020 |
| Closeout Date | 12/12/2023 |
| Work Description | CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/06/2020) |
Sample Information
| Sample Taken Date | 07/30/2021 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 08/02/2021 |
| Sample type | Quality Control | A brief description of the sample | Concrete Mix SL-3172 CE |
| The quantity of what the sample constitutes | 37 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Fahim | Last name of sampler or witnessed by | Karimi |
| Title of sampler | Sampler Smith Emery | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock Materials Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Existing Bents G10, G9, G8, G7 |
Material Information
| Material Type | Concrete | The concrete mix design number | SL-3172CE |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of truck discharge chute | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-07-30-27-1 ASTM C39-10 (Verified)
DIME Test ID: 2021-07-30-27-2 ASTM C39-10 (Verified)