Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2020-10-13-12
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Project Information
| Project Identifiers | Project ID: 215055 DEA: 042AC204 EFIS: 0420000114 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-1-8.5, 8.5-9.5 |
| Award Date | 07/06/2020 |
| Closeout Date | 06/20/2022 |
| Work Description | SOLDIER PILE WALL (REPAIR) |
| Location Description | NEAR STINSON BEACH FROM COLD STREAM TO 0.2 MILE SOUTH OF LONE TREE CREEK |
| QA Service Level | 1 (Verified on 07/01/2020) |
Sample Information
| Sample Taken Date | 10/13/2020 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 10/23/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Cylinders |
| The quantity of what the sample constitutes | 16cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Janine | Last name of sampler or witnessed by | Marr |
| Title of sampler | Structure Rep | Telephone number of sampler | 510-385-6764 |
| 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 | ||
| Structure name | 27-E0015 |
Material Information
| Material Type | Concrete | The concrete mix design number | 3876 |
|---|---|---|---|
| The truck number from where the sample was collected | 1446 | The batch plant ticket number from where the sample was collected | 1191186 |
| Concrete batch plant | Shamrock Materials | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | Retaining wall |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-10-13-12-2 ASTM C39-17a (Verified)