Sample Record

DIME Sample ID 2023-09-12-12

Project Information

Project IdentifiersProject ID: 214998
DEA: 044H0504
EFIS: 0413000080
DIST-CO-RTE-PM04-SON-12-25.8-33.3
Award Date07/29/2022
Closeout Date10/12/2026
Work DescriptionBRIDGE SCOUR MITIGATION
Location DescriptionSONOMA COUNTY NEAR SANTA ROSA AT SONOMA CREEK BRIDGE AND AT HOOKER CREEK BRIDGE
QA Service Level1 (Verified on 09/10/2020)

Owner Lab

  • CT D04 - Petaluma Field Laboratory

Sample Information

Sample Taken Date09/12/2023 Sample Unique Key12
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample6 - 4x8 concrete cylinders The quantity of what the sample constitutes63
From where was the sample collectedJob Site First name of sampler or witnessed byJohn
Last name of sampler or witnessed byAjeakwa Title of sampler
Telephone number of sampler3108007053 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameShamrock Materials
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier20-0306 Structure nameHooker Creek Bridge
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberH7511503
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected138
Concrete batch plantShamrock Petaluma The fabricator/manufacturer designation for the samplePlant
A detailed description of where the material sample was collectedThe hopper of the concrete pump Where the material sample would have been placed if not sampledRetaining wall of Abutment 2
From Lot No. Bag Lot No.

Submitted Tests

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