Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2018-09-27-6
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213002 DEA: 042640N4 EFIS: 0412000649 |
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DIST-CO-RTE-PM | 04-MRN,SON-101-MRN27.0/27.6SON0.0/4.5 |
Award Date | 04/09/2018 |
Closeout Date | 03/12/2021 |
Work Description | CONSTRUCT HOV LANES |
Location Description | MARIN 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 Level | 1 (Verified on 04/13/2018) |
Sample Information
Sample Taken Date | 09/27/2018 | Sample Unique Key | 6 |
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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 | 09/28/2018 |
Sample type | Quality Assurance | A brief description of the sample | Type II/V |
The quantity of what the sample constitutes | 2 6x12 concrete cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Melvin | Last name of sampler or witnessed by | Dumlao |
Title of sampler | ASR | Telephone number of sampler | 5107147638 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | shamrock materials | Transportation Laboratory (TL) Number | 502 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | RW 113 |
Structure name | RW 113 |
Material Information
Material Type | Concrete | The concrete mix design number | 4201a |
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The truck number from where the sample was collected | 1414 | The batch plant ticket number from where the sample was collected | 469306 |
Concrete batch plant | shamrock petaluma | The fabricator/manufacturer designation for the sample | mix |
A detailed description of where the material sample was collected | Back of Truck | Where the material sample would have been placed if not sampled | RW 113 Stem |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-09-27-6-1 ASTM C39-17a (Verified)