Sample Record
Owner Labs
- CT D04 - Petaluma Field Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-03-07-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993602 DEA: 042K2404 EFIS: 0416000394 |
|---|---|
| DIST-CO-RTE-PM | 04-SON,SON-101-16.5-19 |
| Award Date | 05/09/2022 |
| Closeout Date | 07/24/2023 |
| Work Description | REMOVE EXISTING AND CONSTRUCT NEW CONCRETE BRIDGE RAILING. |
| Location Description | MARIN AND SONOMA COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 03/07/2022) |
Sample Information
| Sample Taken Date | 03/07/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 03/13/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Type II 4x8 concrete cylinders (3) |
| The quantity of what the sample constitutes | 22 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | MOHSEN | Last name of sampler or witnessed by | Sami Zamani |
| Title of sampler | Assistant SR | Telephone number of sampler | 5107746277 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock Petaluma | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 27-0082 | |
| Structure name | Miller Creek Road OC | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SL-4201CG |
|---|---|---|---|
| The truck number from where the sample was collected | 2423 | The batch plant ticket number from where the sample was collected | 296690 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete sample from wheelbarrow | Where the material sample would have been placed if not sampled | Northeast half of barrier portion of barrier type 732sw |
| 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: 2023-03-07-6-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-03-07-6-2 ASTM C1064-17