Sample Record

Owner Labs

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

DIME Sample ID 2021-07-31-6

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 DateNot set
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 Date07/31/2021 Sample Unique Key6
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 constitutes24 cy From where was the sample collectedJob Site
First name of sampler or witnessed byHla Last name of sampler or witnessed byKy
Title of samplerAssistant SR 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 nameCorbles G7- G10

Material Information

Material TypeConcrete The concrete mix design numberSL3172CE
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 collectedchute 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
2021-07-31-6-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSACT HQ - Sacramento Concrete Testing Laboratory08/30/2021SA
Yes
08/30/2021