Sample Record
Owner Labs
- CT D04 - Petaluma Field Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-01-25-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993776 DEA: 040J3004 EFIS: 0413000433 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-26.7/27.1 |
| Award Date | 07/08/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCTING RETAINING WALL AND CONFINEMENT SYSTEM TO RESTORE SLIPOUT. |
| Location Description | SONOMA COUNTY NEAR JENNER FROM 0.3 MILE TO 0.7 MILE NORTH OF MEYERS GRADE ROAD |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 01/25/2023 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 01/03/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Piles 187-205 odds |
| The quantity of what the sample constitutes | 43 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sylva | Last name of sampler or witnessed by | Nwankwo |
| Title of sampler | ASR | Telephone number of sampler | 713-498-8137 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Canyon Rock - Forestville | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 20-E0110 | |
| Structure name | Slidesville Retaining Wall |
Material Information
| Material Type | Concrete | The concrete mix design number | 72203043F |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TBD | |
| Concrete batch plant | 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 | |
| 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: 2023-01-25-11-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-01-25-11-2 ASTM C39-17a (Verified)