Sample Record

Owner Labs

  • CT HQ - Sacramento Structural Materials Testing Laboratory
  • CT SC - 3672 - Petaluma

DIME Sample ID 2022-03-11-6

Project Information

Project IdentifiersProject ID: 210673
DEA: 042640F4
EFIS: 0400020132
COOP: 042308A3
Award Date08/08/2019
Closeout Date02/16/2024
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date03/11/2022 Sample Unique Key6
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 testing03/11/2022
Sample typeQuality Assurance A brief description of the sample2 - 6x12 Concrete Cylinders
The quantity of what the sample constitutes360 CY - 20-0300LStem & Soffit St 3 From where was the sample collectedJob Site
First name of sampler or witnessed byPHILIP Last name of sampler or witnessed byLATASA
Title of samplerTEC Telephone number of sampler17072460441
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 identifier20-0300L
Structure nameNPOH St3

Material Information

Material TypeConcrete The concrete mix design number4201A
The truck number from where the sample was collected1443 The batch plant ticket number from where the sample was collected420751
Concrete batch plant138 Petaluma The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE OF TRUCK Where the material sample would have been placed if not sampled20 0300L Stem and Soffit St 3
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-11-6-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensRyan Crawford, CT HQ - Sacramento Concrete Testing Laboratory04/08/2022Ryan Crawford

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2022-03-11-6-1 ASTM C39-17a (Verified)