Sample Record

Owner Labs

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

DIME Sample ID 2022-10-21-13

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date10/21/2022 Sample Unique Key13
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 testing10/21/2022
Sample typeQuality Assurance A brief description of the sample6 - 4x8 concrete cylinder molds
The quantity of what the sample constitutes26.5 CY STRUCTURAL CONCRETE BOX CULVERT From where was the sample collectedJob Site
First name of sampler or witnessed byPhilip Last name of sampler or witnessed byLatasa
Title of samplerASR Telephone number of sampler17072460441
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Petaluma Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameDS 22 35

Material Information

Material TypeConcrete The concrete mix design numberSL-4201CG
The truck number from where the sample was collected1445 The batch plant ticket number from where the sample was collected429411
Concrete batch plantShamrock Petaluma The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledDS35
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-10-21-13-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory11/04/2022SA
Yes
11/04/2022
2022-10-21-13-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensPM, CT HQ - Sacramento Concrete Testing Laboratory11/18/2022PM
Yes
11/18/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-10-21-13-1 ASTM C39-17a (Verified)
DIME Test ID: 2022-10-21-13-2 ASTM C39-17a (Verified)