Sample Record
Owner Labs
- CT HQ - Sacramento Structural Materials Testing Laboratory
- CT SC - 3672 - Petaluma
DIME Sample ID 2023-07-17-5
Project Information
Project Identifiers | Project ID: 994796 DEA: 043Y6404 EFIS: 0423000269 |
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DIST-CO-RTE-PM | 04-MRN-101-24.01/24.01 |
Award Date | Not set |
Closeout Date | 05/03/2024 |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 1 (Verified on 05/05/2023) |
Sample Information
Sample Taken Date | 07/17/2023 | Sample Unique Key | 5 |
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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 | 07/18/2023 |
Sample type | Quality Assurance | A brief description of the sample | 3 - 4x8" Concrete Cylinders |
The quantity of what the sample constitutes | 31 CY Piles 32 34 and 36 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Dhiren | Last name of sampler or witnessed by | Rajmohan |
Title of sampler | ASR | Telephone number of sampler | 15103856774 |
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 | San Antonio Blvd - Emergency Soldier Pile Wall |
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 | 2454 | The batch plant ticket number from where the sample was collected | 386768 |
Concrete batch plant | 138 Petaluma | The fabricator/manufacturer designation for the sample | |
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 32 34 and 36 |
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: 2023-07-17-5-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-07-17-5-2 ASTM C1064-08 (Verified)
DIME Test ID: 2023-07-17-5-3 ASTM C143-15a (Verified)