Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2024-04-11-105
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993776 DEA: 040J3004 EFIS: 0413000433 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-26.7/27.1 |
| Award Date | 07/08/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCTING RETAINING WALL AND CONFINEMENT SYSTEM TO RESTORE SLIPOUT. |
| Location Description | SONOMA COUNTY NEAR JENNER FROM 0.3 MILE TO 0.7 MILE NORTH OF MEYERS GRADE ROAD |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 04/11/2024 | Sample Unique Key | 105 |
|---|---|---|---|
| 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 | 04/11/2024 |
| Sample type | Quality Assurance | A brief description of the sample | SBFL |
| The quantity of what the sample constitutes | 4 bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Valdez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Pet-24-147 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Native | 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 | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Jobsite |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Stockpile @ PM 27.0 | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-04-11-105-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-04-11-105-2 CTM 217-June 2011 (Verified)