Sample Record

Owner Labs

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

DIME Sample ID 2018-10-01-13

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 Date10/01/2018 Sample Unique Key13
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 testing10/19/2018
Sample typeQuality Assurance A brief description of the sampletype II/V
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 113
Structure nameRW 113

Material Information

Material TypeConcrete The concrete mix design number4201a
The truck number from where the sample was collected1418 The batch plant ticket number from where the sample was collected170911
Concrete batch plantshamrock materials petaluma The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedback of truck Where the material sample would have been placed if not sampledRW 113 Stem Wall
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-10-01-13-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensRMCT HQ - Sacramento Concrete Testing Laboratory10/29/2018RM
Yes
10/29/2018