Sample Record
Owner Labs
- CT SC - 3672 - Santa Rosa
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-02-23-34
Project Information
| Project Identifiers | Project ID: 994425 DEA: 040K5204 EFIS: 0416000098 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-12-11.0/T17.4 |
| Award Date | 03/21/2023 |
| Closeout Date | Not set |
| Work Description | Overlay with RHMA, replace guardrails, approach slabs and signs. |
| Location Description | Construction on State Highway in Sonoma County from Llano Road to Farmers Lane. |
| QA Service Level | 1 (Verified on 12/07/2022) |
Sample Information
| Sample Taken Date | 02/23/2024 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 03/14/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 4x8 cylinder |
| The quantity of what the sample constitutes | 1 day of production | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | keith | Last name of sampler or witnessed by | iwamoto |
| Title of sampler | ASR | Telephone number of sampler | 5108676764 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vanguard Mobile Plant Hercules | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 3CTS |
|---|---|---|---|
| The truck number from where the sample was collected | 597 | The batch plant ticket number from where the sample was collected | 00000063 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | back of truck while pouring paving notch | Where the material sample would have been placed if not sampled | paving notch |
| 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: 2024-02-23-34-2 ASTM C39-17a (Verified)
DIME Test ID: 2024-02-23-34-3 ASTM C1064-17 (Verified)
