Sample Record
DIME Sample ID 2022-02-17-18
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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) |
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
Sample Information
| Sample Taken Date | 02/17/2022 | Sample Unique Key | 18 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/22/2022 | Sample type | Quality Assurance |
| A brief description of the sample | 6x12 concrete cylinders | The quantity of what the sample constitutes | 2 cylinders |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Harry |
| Last name of sampler or witnessed by | Suryantoro | Title of sampler | ASR |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Kaiser | |
| Transportation Laboratory (TL) Number | 93310 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | Greenbrae Pedestrian OC | |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 4201A |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
| Concrete batch plant | 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 | |
| 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: 2022-02-17-18-1 ASTM C39-17a (Verified)