Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-08-02-9
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Project Information
| Project Identifiers | Project ID: 212008 DEA: 041SS584 EFIS: 0412000635 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-1-2.2 |
| Award Date | 04/18/2017 |
| Closeout Date | 12/21/2017 |
| Work Description | SOLDIER PILE RETAINING WALL |
| Location Description | MARIN COUNTY AT TAMALPAIS-HOMESTEAD VALLEY 0.3 MILE SOUTH OF WEST CALIFORNIA AVENUE |
| QA Service Level | 1 (Verified on 02/15/2017) |
Sample Information
| Sample Taken Date | 08/02/2017 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 08/29/2017 |
| Sample type | Quality Assurance | A brief description of the sample | conc cyl |
| The quantity of what the sample constitutes | 2 6x12 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jeremy | Last name of sampler or witnessed by | Light |
| Title of sampler | ASR | Telephone number of sampler | 510393-9273 |
| Laboratory sample identification | 1-28-1 of 2, 2 of 2 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Shamrock Materials | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | 27E0073 |
Material Information
| Material Type | Concrete | The concrete mix design number | 4700P |
|---|---|---|---|
| The truck number from where the sample was collected | 1956 | The batch plant ticket number from where the sample was collected | 156796 |
| Concrete batch plant | Shamrock San Rafael | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | from chute | Where the material sample would have been placed if not sampled | soldier piles |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-08-02-9-1 ASTM C39-17a (Verified)