Sample Record

Owner Labs

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

DIME Sample ID 2021-08-03-15

Project Information

Project IdentifiersProject ID: 215000
DEA: 044J4504
EFIS: 0415000350
DIST-CO-RTE-PM04-MRN-131-0.8
Award Date12/24/2020
Closeout DateNot set
Work DescriptionADA INFRASTRUCTURE
Location DescriptionMARIN COUNTY IN TIBURON AT GREENWOOD COVE DRIVE/BLACKFIELD DRIVE
QA Service Level1 (Verified on 09/10/2020)

Sample Information

Sample Taken Date08/03/2021 Sample Unique Key15
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 testing08/06/2021
Sample typeQuality Assurance A brief description of the sample 4 x 8" Cylinders
The quantity of what the sample constitutes14 cy From where was the sample collectedJob Site
First name of sampler or witnessed byHla Last name of sampler or witnessed byKy
Title of samplerStructure Rep Telephone number of sampler510-385-6764
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameCIDH 42 inch

Material Information

Material TypeConcrete The concrete mix design numberSL4707CG
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedMix Truck Chute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-03-15-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSACT HQ - Sacramento Concrete Testing Laboratory08/31/2021SA
Yes
08/31/2021