Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-06-17-33
Project Information
Project Identifiers | Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1 |
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DIST-CO-RTE-PM | 04-MRN-101-8.4 |
Award Date | 11/30/2020 |
Closeout Date | 12/12/2023 |
Work Description | CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/06/2020) |
Sample Information
Sample Taken Date | 06/17/2021 | Sample Unique Key | 33 |
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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 testing | 07/09/2021 |
Sample type | Quality Assurance | A brief description of the sample | Type II Cement |
The quantity of what the sample constitutes | 3 cylinders | 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 | ASR | Telephone number of sampler | 510-385-6764 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | shamrock | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | CIDH F15 bent |
Material Information
Material Type | Concrete | The concrete mix design number | SL4707CG |
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The truck number from where the sample was collected | 1215 | The batch plant ticket number from where the sample was collected | 195625 |
Concrete batch plant | Shamrock San Rafael | 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 | CIDH |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-06-17-33-1 ASTM C39-17a (Verified)