Sample Record

Owner Lab

  • Disney Construction Inc

DIME Sample ID 2021-08-06-30

Sample is locked from editing. info

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 Date08/06/2021 Sample Unique Key30
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 testing08/09/2021
Sample typeQuality Control A brief description of the sampleConcrete Mix SL-3172 CE
The quantity of what the sample constitutes6 CY From where was the sample collectedJob Site
First name of sampler or witnessed byDoug Last name of sampler or witnessed bySmith
Title of samplerSampler Smith Emery Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameColumns F12, F14, F15

Material Information

Material TypeConcrete The concrete mix design numberSL-3172CE
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 collectedBack of truck discharge 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
2021-08-06-30-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSmith Emery LabDisney Construction Inc08/13/2021Ignacio Benavente
Yes
09/03/2021
2021-08-06-30-2ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSmith Emery LabDisney Construction Inc09/03/2021Ignacio Benavente
Yes
09/03/2021