Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-12-22-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993424 DEA: 04281204 EFIS: 0400000769 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29,221-5.5/6.7,0.0/0.2 |
| Award Date | 03/21/2022 |
| Closeout Date | Not set |
| Work Description | HMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS. |
| Location Description | NAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29 |
| QA Service Level | 1 (Verified on 12/08/2021) |
Sample Information
| Sample Taken Date | 12/22/2022 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 12/29/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 3 4x8 cylinders |
| The quantity of what the sample constitutes | 3 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Nana | Last name of sampler or witnessed by | Budu |
| Title of sampler | Unknown | Telephone number of sampler | 510-867-4517 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Shamrock Napa | Transportation Laboratory (TL) Number | 28 - Napa |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 21-0119 |
| Structure name | Napa 29 Roundabout/Off Ramps |
Material Information
| Material Type | Concrete | The concrete mix design number | CT063AR5W |
|---|---|---|---|
| The truck number from where the sample was collected | 9980 | The batch plant ticket number from where the sample was collected | 736943 |
| Concrete batch plant | Shamrock Materials | The fabricator/manufacturer designation for the sample | Shamrock Materials |
| A detailed description of where the material sample was collected | Back of the truck Chute | Where the material sample would have been placed if not sampled | Inside Form |
| 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: 2022-12-22-12-1 ASTM C39-17a (Verified)