Sample Record

Owner Labs

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

DIME Sample ID 2023-01-26-32

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 Date01/26/2023 Sample Unique Key32
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 testing01/27/2023
Sample typeQuality Assurance A brief description of the sample6 - 4x8 concrete cylinder molds
The quantity of what the sample constitutes42 CY 113F 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 - 77

Material Information

Material TypeConcrete The concrete mix design numberSL-4201CG
The truck number from where the sample was collected1465 The batch plant ticket number from where the sample was collected431345
Concrete batch plant138 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 sampledDS77 Roof and exterior walls
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-01-26-32-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory02/23/2023SA
Yes
02/23/2023
2023-01-26-32-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory03/09/2023SA
Yes
03/09/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-01-26-32-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-01-26-32-2 ASTM C39-17a (Verified)