Sample Record
Owner Labs
- CT HQ - Sacramento Structural Materials Testing Laboratory
- CT HQ - Sacramento Docking Station Concrete Laboratory
DIME Sample ID 2023-06-20-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994491 DEA: 043Y2404 EFIS: 0423000212 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA/CC-Var-Var/Var |
| Award Date | 01/30/2023 |
| Closeout Date | 03/11/2024 |
| Work Description | *** Materials Admin still needs to verify this project's Project Type and Service Level *** |
| Location Description | *** Materials Admin still needs to verify this project's Project Type and Service Level *** |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 06/20/2023 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 06/21/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3 - 4x8 concrete cylinder molds |
| The quantity of what the sample constitutes | 18 CY Placed in soldier piles 1 and 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jeremy | Last name of sampler or witnessed by | Light |
| Title of sampler | Telephone number of sampler | 15103939273 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| 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 | Emergency soldier pile wall | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SL-4704CG |
|---|---|---|---|
| The truck number from where the sample was collected | 2445 | The batch plant ticket number from where the sample was collected | 367854 |
| Concrete batch plant | 138 Petaluma | The fabricator/manufacturer designation for the sample | Shamrock Materials |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | Piles 1 and 3 |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||