Sample Record
Owner Labs
- CT SC - 3672 - Santa Rosa
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-11-21-23
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994987 DEA: 043Y2004 EFIS: 0423000207 |
|---|---|
| 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 | 11/21/2023 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | 12/04/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Type II Cement |
| The quantity of what the sample constitutes | 32 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 |
|---|---|---|---|
| The truck number from where the sample was collected | 64 | The batch plant ticket number from where the sample was collected | 17741 |
| 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 | Concrete wall facing |
| 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: 2023-11-21-23-1 ASTM C39-21 (Verified)
DIME Test ID: 2023-11-21-23-2 ASTM C39-21 (Verified)
DIME Test ID: 2023-11-21-23-3 ASTM C1064-17 (Verified)