Sample Record
Owner Labs
- CT SC - 3672 - Petaluma
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-06-06-9
Project Information
Project Identifiers | Project ID: 211853 DEA: 042G8904 EFIS: 0400021259 |
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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 | 06/06/2017 | Sample Unique Key | 9 |
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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 | 06/16/2017 |
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 8 |
Material Information
Material Type | Concrete | The concrete mix design number | 4201a |
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The truck number from where the sample was collected | 1808 | The batch plant ticket number from where the sample was collected | 124359 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | truck chute | Where the material sample would have been placed if not sampled | soldier pile wall |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2017-06-06-9-1 ASTM C39-10 (Verified)