Sample Record
DIME Sample ID 2021-09-14-13
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) |
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
Sample Information
| Sample Taken Date | 09/14/2021 | Sample Unique Key | 13 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/22/2021 | Sample type | Quality Assurance |
| A brief description of the sample | 4 x 8" Cylinders | The quantity of what the sample constitutes | 22CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Hla |
| Last name of sampler or witnessed by | Ky | Title of sampler | Assistant SR |
| Telephone number of sampler | 510-385-6764 | 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 | 3172CE |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | Shamrock San Rafael | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | chute | Where the material sample would have been placed if not sampled | Abut F31 |
| 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: 2021-09-14-13-1 ASTM C39-17a (Verified)
