Sample Record
Owner Lab
- CT SC - 3672 - Petaluma
DIME Sample ID 2017-05-23-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211853 DEA: 042G8904 EFIS: 0400021259 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-1-8.0 |
| Award Date | 02/09/2017 |
| Closeout Date | 12/22/2017 |
| Work Description | SOLDIER PILE WALL WITH TIEBACKS AND EMBANKMENT CONFINED SYSTEM. |
| Location Description | MARIN COUNTY NEAR MUIR BEACH AT 2.1 MILES NORTH OF MUIR WOODS ROAD |
| QA Service Level | 1 (Verified on 03/15/2017) |
Sample Information
| Sample Taken Date | 05/23/2017 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 2 6x12 concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Janine | Last name of sampler or witnessed by | marr |
| Title of sampler | Transportation Engineer | Telephone number of sampler | 1-510-385-6764 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock Materials | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Retaining Wall Ground Anchor |
Material Information
| Material Type | Concrete | The concrete mix design number | 4201a |
|---|---|---|---|
| The truck number from where the sample was collected | 1208 | The batch plant ticket number from where the sample was collected | 154830 |
| Concrete batch plant | 1 | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Mix Truck Chute | Where the material sample would have been placed if not sampled | jobsite |
| 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. | |||