Sample Record
Owner Labs
- CT HQ - Sacramento Structural Materials Testing Laboratory
- CT SC - 3672 - Petaluma
DIME Sample ID 2022-05-18-15
Project Information
Project Identifiers | Project ID: 210673 DEA: 042640F4 EFIS: 0400020132 COOP: 042308A3 |
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DIST-CO-RTE-PM | 04-SON-- |
Award Date | 08/08/2019 |
Closeout Date | 02/16/2024 |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
Sample Taken Date | 05/18/2022 | Sample Unique Key | 15 |
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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 | 05/18/2022 |
Sample type | Quality Assurance | A brief description of the sample | 2 6x12 concrete cylinders |
The quantity of what the sample constitutes | 21 CY Structural Concrete (Polymer Fibers) | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Philip | Last name of sampler or witnessed by | Latasa |
Title of sampler | TEC | Telephone number of sampler | 17072460441 |
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 | 20-0301 | |
Structure name | Rainier Ave UC deck closure stage 3 |
Material Information
Material Type | Concrete | The concrete mix design number | 3172GG-F-SRA |
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The truck number from where the sample was collected | 1433 | The batch plant ticket number from where the sample was collected | 423611 |
Concrete batch plant | 138 | The fabricator/manufacturer designation for the sample | Shamrock Materials |
A detailed description of where the material sample was collected | CHUTE OF TRUCK | Where the material sample would have been placed if not sampled | 20 0301 RAUC Deck Closure Pour St 3 |
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: 2022-05-18-15-1 ASTM C39-17a (Verified)