Sample Record

Owner Labs

  • CT D04 - Fairfield Construction Field Office 59-545
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2024-06-04-69

Project Information

Project IdentifiersProject ID: 994378
DEA: 040K6304
EFIS: 0416000111
DIST-CO-RTE-PM04-NAP-29-16.4/19.0
Award Date06/27/2023
Closeout DateNot set
Work DescriptionBRIDGE RAIL REPLACEMENT AND SHOULDER WIDENING.
Location DescriptionNAPA COUNTY NEAR YOUNTVILLE AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF DRY CREEK BRIDGE TO 0.1 MILE NORTH OF CALIFORNIA DRIVE UNDERCROSSIG
QA Service Level1 (Verified on 10/27/2022)

Sample Information

Sample Taken Date06/04/2024 Sample Unique Key69
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 testing06/12/2024
Sample typeQuality Assurance A brief description of the sampleStage 2 Approach Slab NB/SB
The quantity of what the sample constitutes3 From where was the sample collectedJob Site
First name of sampler or witnessed byANGELO Last name of sampler or witnessed byPerez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Petaluma Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameCA Drive UC

Material Information

Material TypeConcrete The concrete mix design numberD67115P1
The truck number from where the sample was collected6204 The batch plant ticket number from where the sample was collected619113
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedwheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-06-04-69-3ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteANGELO Perez, CT D04 - Fairfield Construction Field Office 59-54506/04/2024Amal Mamlouk
No
Info
2024-06-04-69-4ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement ConcreteANGELO Perez, CT D04 - Fairfield Construction Field Office 59-54506/04/2024Amal Mamlouk
No
Info
2024-06-04-69-5ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory07/02/2024SA
Yes
07/02/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-06-04-69-3 ASTM C1064-17
DIME Test ID: 2024-06-04-69-4 ASTM C143-10a
DIME Test ID: 2024-06-04-69-5 ASTM C39-17a (Verified)