Sample Record

Owner Labs

  • CT SC Sub-unit 3672-105
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2018-09-14-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212354
DEA: 044K8504
EFIS: 0417000378
DIST-CO-RTE-PM04-MRN-1-22.8
Award Date06/21/2017
Closeout Date12/16/2021
Work DescriptionGiacomini Creek Bridge, Construct sheet pile wall, replace culvert
Location DescriptionROUTE 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 Level1 (Verified on 05/01/2017)

Sample Information

Sample Taken Date09/14/2018 Sample Unique Key6
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 testing09/21/2018
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes20 cy From where was the sample collectedJob Site
First name of sampler or witnessed byJeremy Last name of sampler or witnessed byLight
Title of samplerStructures rep Telephone number of sampler5103939273
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier27 0122
Structure nameGiacomini Gulch Bridge

Material Information

Material TypeConcrete The concrete mix design number4100A
The truck number from where the sample was collected1433 The batch plant ticket number from where the sample was collected170280
Concrete batch plantShamrock San Rafael The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedfrom chute Where the material sample would have been placed if not sampledAbutment 1 stem phase 2
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-09-14-6-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensLMCCT HQ - Sacramento Concrete Testing Laboratory10/12/2018LMC
Yes
10/12/2018