Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-05-07-14
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Project Information
| Project Identifiers | Project ID: 212354 DEA: 044K8504 EFIS: 0417000378 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN,MTRN-1-22.8, 22.80 |
| Award Date | 06/21/2017 |
| Closeout Date | 12/16/2021 |
| Work Description | Giacomini Creek Bridge, Construct sheet pile wall, replace culvert |
| Location Description | ROUTE 1, AT POSTMILE 22.8, NEAR BOLINAS, AT 0.52 MILES NORTH OF HORSESHOE HILL RD., MARIN COUNTY SLIPOUT, CONSTRUCT SOLDIER PILE WALL |
| QA Service Level | 1 (Verified on 05/01/2017) |
Sample Information
| Sample Taken Date | 05/07/2018 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 06/04/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 2 conc cylinders |
| The quantity of what the sample constitutes | 18 CY | 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 | Structure Representative | Telephone number of sampler | 5103939273 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Shamrock | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 27 0122 |
| Structure name | Giacomini Gulch Bridge |
Material Information
| Material Type | Concrete | The concrete mix design number | 4700 |
|---|---|---|---|
| The truck number from where the sample was collected | 1434 | The batch plant ticket number from where the sample was collected | 463002 |
| Concrete batch plant | Shamrock Petaluma | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | collected from chute | Where the material sample would have been placed if not sampled | pile 7 Abutment 2 |
| 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: 2018-05-07-14-1 ASTM C39-17a (Verified)