Sample Record
Owner Labs
- CT SC - 3672 - Novato
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-05-03-50
Project Information
Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
---|---|
DIST-CO-RTE-PM | 04-MRN-101-R20.8/27.1 |
Award Date | 04/26/2022 |
Closeout Date | Not set |
Work Description | CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL. |
Location Description | MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE |
QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
Sample Taken Date | 05/03/2024 | Sample Unique Key | 50 |
---|---|---|---|
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 | 05/03/2024 |
Sample type | Quality Assurance | A brief description of the sample | Grout Cubes for column jacket |
The quantity of what the sample constitutes | 45CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Philip | Last name of sampler or witnessed by | Latasa |
Title of sampler | ASR | Telephone number of sampler | |
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 | 27-0090L | |
Structure name | Franklin Ave. OH Left Bridge |
Material Information
Material Type | Concrete | The concrete mix design number | B9001 |
---|---|---|---|
The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 5681048 | |
Concrete batch plant | 812 | 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 | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
---|---|---|---|---|---|---|---|---|
No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |