Sample Record
Owner Labs
- CT SC - 3672 - Petaluma
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-08-21-10
Project Information
Project Identifiers | Project ID: 212345 DEA: 044G2204 EFIS: 0412000314 |
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DIST-CO-RTE-PM | 04-SON-12-17.75-18.20 |
Award Date | 12/06/2017 |
Closeout Date | 03/12/2021 |
Work Description | PROJECT: SONOMA 12 FARMERS LANE MEDIAN BARRIER MICROPILES |
Location Description | IN SONOMA COUNTY ON ROUTE 12, IN SANTA ROSA FROM FARMERS LANE TO BRUSH CREEK RD. |
QA Service Level | 1 (Verified on 10/18/2017) |
Sample Information
Sample Taken Date | 08/21/2018 | Sample Unique Key | 10 |
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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 | 08/24/2018 |
Sample type | Quality Assurance | A brief description of the sample | 6X12 cylinders |
The quantity of what the sample constitutes | 2 sets | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Harry | Last name of sampler or witnessed by | Suryantoro |
Title of sampler | Transportation Engineer | Telephone number of sampler | 1-707-333-4263 |
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 | Route 12 Farmers Lane | |
Structure name | Type 60 Barrier |
Material Information
Material Type | Concrete | The concrete mix design number | 4158CR |
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The truck number from where the sample was collected | 1418 | The batch plant ticket number from where the sample was collected | 467577 |
Concrete batch plant | Shamrock Petaluma | The fabricator/manufacturer designation for the sample | Shamrock Materials |
A detailed description of where the material sample was collected | Mix Truck Chute | Where the material sample would have been placed if not sampled | Type 60 Median Barrier |
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: 2018-08-21-10-1 ASTM C39-10 (Verified)