Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-12-13-40
Project Information
Project Identifiers | Project ID: 993776 DEA: 040J3004 EFIS: 0413000433 |
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DIST-CO-RTE-PM | 04-SON-1-26.7/27.1 |
Award Date | 07/08/2022 |
Closeout Date | Not set |
Work Description | CONSTRUCTING RETAINING WALL AND CONFINEMENT SYSTEM TO RESTORE SLIPOUT. |
Location Description | SONOMA COUNTY NEAR JENNER FROM 0.3 MILE TO 0.7 MILE NORTH OF MEYERS GRADE ROAD |
QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
Sample Taken Date | 12/13/2022 | Sample Unique Key | 40 |
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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 | 12/13/2022 |
Sample type | Quality Assurance | A brief description of the sample | 4x8 #9 concrete cylinders |
The quantity of what the sample constitutes | 9 concrete cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Fabio | Last name of sampler or witnessed by | La Serna |
Title of sampler | RE | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Agronaut Constructors | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | SL-4700CG |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | SL-4700CG | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | 9 Concrete Cylinders | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2022-12-13-40-1 ASTM C39-17a (Verified)
DIME Test ID: 2022-12-13-40-2 ASTM C39-17a (Verified)