Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-09-22-24
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213653 DEA: 044G8204 EFIS: 0413000049 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-10.6/10.8 |
| Award Date | 05/05/2020 |
| Closeout Date | 08/14/2023 |
| Work Description | REPLACE SAN RAFAEL HARBOR BRIDGE (ABC) |
| Location Description | MARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET |
| QA Service Level | 1 (Verified on 05/31/2019) |
Sample Information
| Sample Taken Date | 09/22/2021 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 10/08/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Portland Cement Concrete |
| The quantity of what the sample constitutes | 18CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Pak | Last name of sampler or witnessed by | Prakarn |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Harbor Bridge | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SL3172CE |
|---|---|---|---|
| The truck number from where the sample was collected | 1424 | The batch plant ticket number from where the sample was collected | 197794 |
| Concrete batch plant | San Rafael | The fabricator/manufacturer designation for the sample | Shamrock |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | closure pour |
| 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: 2021-09-22-24-1 ASTM C39-17a (Verified)