Sample Record
Owner Labs
- CT SC - 3672 - Fairfield
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-11-06-10
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1 |
|---|---|
| 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 | 11/06/2021 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 11/24/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 4 x 8" Cylinders |
| The quantity of what the sample constitutes | 40 +CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Hla | Last name of sampler or witnessed by | Ky |
| Title of sampler | Assistant SR | Telephone number of sampler | 510-224-6461 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock Materials | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Ped OC diaphragms |
Material Information
| Material Type | Concrete | The concrete mix design number | 3172CE |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 1 |
| 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 | Ped OC diaphragms |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-11-06-10-1 ASTM C39-17a (Verified)