Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-08-15-15
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Project Information
| Project Identifiers | Project ID: 213153 DEA: 044S7804 EFIS: 0400020145 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-1-24.7 |
| Award Date | 04/26/2018 |
| Closeout Date | 10/17/2019 |
| Work Description | REPLACE EXISTING CULVERTS WITH 36' REINFORCED CONCRETE SLAB BRIDGE. |
| Location Description | MARIN COUNTY NEAR OLEMA AT 1.8 MILES SOUTH OF SIR FRANCIS DRAKE BOULEVARD |
| QA Service Level | 1 (Verified on 06/12/2018) |
Sample Information
| Sample Taken Date | 08/15/2018 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 09/17/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 30cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Pak | Last name of sampler or witnessed by | marr |
| Title of sampler | Assistant SR | Telephone number of sampler | 1-510-385-6764 |
| 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 | Unknown |
| Structure name | Olema Cr Bridge |
Material Information
| Material Type | Concrete | The concrete mix design number | 3172GG |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 138 |
| Concrete batch plant | Sharmrock petaluma | The fabricator/manufacturer designation for the sample | . |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | pile 8 |
| 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: 2018-08-15-15-1 ASTM C39-10 (Verified)