Sample Record
Owner Lab
- Pavement Engineers
DIME Sample ID 2022-09-23-55
Project Information
| Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-R20.8/27.1 |
| Award Date | 04/26/2022 |
| Closeout Date | Not set |
| Work Description | CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL. |
| Location Description | MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE |
| QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
| Sample Taken Date | 09/23/2022 | Sample Unique Key | 55 |
|---|---|---|---|
| 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 | 09/24/2022 |
| Sample type | Quality Control | A brief description of the sample | 3728LV |
| The quantity of what the sample constitutes | 5 yards | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Elliott | Last name of sampler or witnessed by | Marman |
| Title of sampler | QC Field Technician | Telephone number of sampler | 530-305-2437 |
| Laboratory sample identification | S22-050 | Linked DIME Sample ID | 3728LV |
| The fabricator/manufacturer/facility name | Shamrock Materials Petaluma | 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 | 3728LV |
|---|---|---|---|
| The truck number from where the sample was collected | 1455 | The batch plant ticket number from where the sample was collected | 428353 |
| Concrete batch plant | Shamrock Materials | The fabricator/manufacturer designation for the sample | 3728LV |
| 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 | trial batch only |
| 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: 2022-09-23-55-1 ASTM C39-21 (Verified)
DIME Test ID: 2022-09-23-55-2 ASTM C39-21 (Verified)
DIME Test ID: 2022-09-23-55-3 ASTM C39-21 (Verified)
DIME Test ID: 2022-09-23-55-4 ASTM C39-21 (Verified)
DIME Test ID: 2022-09-23-55-5 ASTM C39-21 (Verified)
DIME Test ID: 2022-09-23-55-6 ASTM C39-21 (Verified)
