Sample Record
Owner Labs
- CT HQ - Sacramento Structural Materials Testing Laboratory
- CT SC - 3672 - Petaluma
DIME Sample ID 2023-07-18-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994796 DEA: 043Y6404 EFIS: 0423000269 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-24.01/24.01 |
| Award Date | 05/12/2023 |
| 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 | 07/18/2023 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 07/19/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3 - 4x8" Concrete Cylinders |
| The quantity of what the sample constitutes | 42 CY Piles 35 38 40 and42 | 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 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | SL-4700CG |
|---|---|---|---|
| The truck number from where the sample was collected | 2453 | The batch plant ticket number from where the sample was collected | 387812 |
| 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 35 38 40 and 42 |
| 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: 2023-07-18-17-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-07-18-17-2 ASTM C1064-17 (Verified)
DIME Test ID: 2023-07-18-17-3 ASTM C143-10a (Verified)