Sample Record
Owner Labs
- CT SC - 3672 - Santa Rosa
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-10-30-16
Project Information
Project Identifiers | Project ID: 994987 DEA: 043Y2004 EFIS: 0423000207 |
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DIST-CO-RTE-PM | 04-SON-116-12.1/12.1 |
Award Date | 01/20/2023 |
Closeout Date | Not set |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 1 (Verified on 07/20/2023) |
Sample Information
Sample Taken Date | 10/30/2023 | Sample Unique Key | 16 |
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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 | 10/30/2023 |
Sample type | Quality Assurance | A brief description of the sample | Type II cement |
The quantity of what the sample constitutes | 30 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Lauren | Last name of sampler or witnessed by | Lau |
Title of sampler | ASR | Telephone number of sampler | 5103939262 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Northgate Ready Mix | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Guerneville slide wall facing |
Material Information
Material Type | Concrete | The concrete mix design number | B6438 |
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The truck number from where the sample was collected | 54 | The batch plant ticket number from where the sample was collected | 176593 |
Concrete batch plant | Northgate Ready Mix | 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 | Wall facing |
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: 2023-10-30-16-1 ASTM C1064-17 (Verified)
DIME Test ID: 2023-10-30-16-2 ASTM C39-21 (Verified)
DIME Test ID: 2023-10-30-16-3 ASTM C39-21 (Verified)