Sample Record

Owner Labs

  • CT SC - 3672 - Fairfield
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2021-06-17-33

Project Information

Project IdentifiersProject ID: 213099
DEA: 041A6614
EFIS: 0415000291
COOP: 042683A1
DIST-CO-RTE-PM04-MRN-101-8.4
Award Date11/30/2020
Closeout Date12/12/2023
Work DescriptionCONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location DescriptionNot set
QA Service Level1 (Verified on 11/06/2020)

Sample Information

Sample Taken Date06/17/2021 Sample Unique Key33
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing07/09/2021
Sample typeQuality Assurance A brief description of the sampleType II Cement
The quantity of what the sample constitutes3 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byJanine Last name of sampler or witnessed byMarr
Title of samplerASR Telephone number of sampler510-385-6764
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameshamrock Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameCIDH F15 bent

Material Information

Material TypeConcrete The concrete mix design numberSL4707CG
The truck number from where the sample was collected1215 The batch plant ticket number from where the sample was collected195625
Concrete batch plantShamrock San Rafael The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute Where the material sample would have been placed if not sampledCIDH
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-17-33-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory07/15/2021SA
Yes
07/15/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-06-17-33-1 ASTM C39-17a (Verified)