Sample Record

Owner Lab

  • Pavement Engineers

DIME Sample ID 2022-11-03-73

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 Date11/03/2022 Sample Unique Key73
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 testing11/04/2022
Sample typeQuality Control A brief description of the sampleSL4201CG
The quantity of what the sample constitutes36 From where was the sample collectedJob Site
First name of sampler or witnessed byIrwin Last name of sampler or witnessed byMcMath
Title of samplerField Technician Telephone number of sampler
Laboratory sample identificationS22-067 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 namesystems 22, 35, 40

Material Information

Material TypeConcrete The concrete mix design numberSL-4201CG
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected429888
Concrete batch plantShamrock Petaluma The fabricator/manufacturer designation for the sampleSL-4201CG
A detailed description of where the material sample was collectedconcrete chute Where the material sample would have been placed if not sampledboom truck
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-03-73-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMichelle Holub, Pavement Engineers11/10/2022Michelle Holub
Yes
12/11/2022
2022-11-03-73-2ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMichelle Holub, Pavement Engineers12/01/2022Michelle Holub
Yes
12/11/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-11-03-73-1 ASTM C39-21 (Verified)
DIME Test ID: 2022-11-03-73-2 ASTM C39-21 (Verified)