Sample Record
Owner Labs
- CT HQ - Sacramento Structural Materials Testing Laboratory
- CT SC - 3672 - Petaluma
DIME Sample ID 2022-04-27-32
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 210673 DEA: 042640F4 EFIS: 0400020132 COOP: 042308A3 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-- |
| Award Date | 08/08/2019 |
| Closeout Date | 02/16/2024 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
| Sample Taken Date | 04/27/2022 | Sample Unique Key | 32 |
|---|---|---|---|
| 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 | 05/13/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 2 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 131 CY Structural Concrete Approach Slab | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Philip | Last name of sampler or witnessed by | Latasa |
| Title of sampler | TEC | Telephone number of sampler | 17072460441 |
| 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 | 20-0301 | |
| Structure name | RAUC St3 Approach Slabs |
Material Information
| Material Type | Concrete | The concrete mix design number | 4201A |
|---|---|---|---|
| The truck number from where the sample was collected | 1454 | The batch plant ticket number from where the sample was collected | 423416 |
| Concrete batch plant | 138 | The fabricator/manufacturer designation for the sample | Shamrock Materials |
| A detailed description of where the material sample was collected | CHUTE OF TRUCK | Where the material sample would have been placed if not sampled | RAUC St 3 Approach Slabs Abut 1 and 3 |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||