Sample Record

Owner Labs

  • CT SC - 3672 - Fairfield
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2018-07-31-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213002
DEA: 042640N4
EFIS: 0412000649
DIST-CO-RTE-PM04-MRN,SON-101-MRN27.0/27.6SON0.0/4.5
Award Date04/09/2018
Closeout Date03/12/2021
Work DescriptionCONSTRUCT HOV LANES
Location DescriptionMARIN AND SONOMA COUNTIES IN AND NEAR PETALUMA FROM 0.6 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE TO 0.3 MILE SOUTH OF EAST WASHINGTON STREET OVER CROSSING
QA Service Level1 (Verified on 04/13/2018)

Sample Information

Sample Taken Date07/31/2018 Sample Unique Key17
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 testing08/20/2018
Sample typeQuality Assurance A brief description of the sampleType II Cement
The quantity of what the sample constitutes2 6x12 concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byMelvin Last name of sampler or witnessed byDumlao
Title of samplerASR Telephone number of sampler5107147638
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameShamrock Materials Transportation Laboratory (TL) Number502
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierrw 123
Structure namerw 123

Material Information

Material TypeConcrete The concrete mix design number4201A
The truck number from where the sample was collected1439 The batch plant ticket number from where the sample was collected466480
Concrete batch plantShamrock Petaluma The fabricator/manufacturer designation for the sampleMix
A detailed description of where the material sample was collectedback of concrete truck Where the material sample would have been placed if not sampledConcrete Backfill for Soldier Pile
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-07-31-17-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensLMC, CT HQ - Sacramento Concrete Testing Laboratory08/28/2018LMC
Yes
08/28/2018

Sample File Attachments

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Test File Attachments


DIME Test ID: 2018-07-31-17-1 ASTM C39-17a (Verified)