Sample Record
Owner Lab
- Disney Construction, Incorporated
DIME Sample ID 2021-06-21-64
Sample is locked from editing. info
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 | 06/21/2021 | Sample Unique Key | 64 |
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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 | 06/22/2021 |
Sample type | Quality Control | A brief description of the sample | Concrete Mix SL-4707 |
The quantity of what the sample constitutes | 26 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Preston | Last name of sampler or witnessed by | Blehm |
Title of sampler | Sampler Smith Emery | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Shamrock Materials Inc | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Pile F12 |
Material Information
Material Type | Concrete | The concrete mix design number | SL-4707CG |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Back of truck discharge chute | Where the material sample would have been placed if not sampled | |
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: 2021-06-21-64-1 ASTM C39-10 (Verified)
DIME Test ID: 2021-06-21-64-2 ASTM C39-10 (Verified)