Sample Record

Owner Labs

  • CT D04 - Petaluma Field Laboratory
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2023-03-07-6

Project Information

Project IdentifiersProject ID: 993602
DEA: 042K2404
EFIS: 0416000394
DIST-CO-RTE-PM04-SON,SON-101-16.5-19
Award Date05/09/2022
Closeout Date07/24/2023
Work DescriptionREMOVE EXISTING AND CONSTRUCT NEW CONCRETE BRIDGE RAILING.
Location DescriptionMARIN AND SONOMA COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 03/07/2022)

Sample Information

Sample Taken Date03/07/2023 Sample Unique Key6
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 testing03/13/2023
Sample typeQuality Assurance A brief description of the sampleType II 4x8 concrete cylinders (3)
The quantity of what the sample constitutes22 CY From where was the sample collectedJob Site
First name of sampler or witnessed byMOHSEN Last name of sampler or witnessed bySami Zamani
Title of samplerAssistant SR Telephone number of sampler5107746277
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Petaluma Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier27-0082
Structure nameMiller Creek Road OC

Material Information

Material TypeConcrete The concrete mix design numberSL-4201CG
The truck number from where the sample was collected2423 The batch plant ticket number from where the sample was collected296690
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampledNortheast half of barrier portion of barrier type 732sw
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-03-07-6-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory04/04/2023SA
Yes
04/04/2023
2023-03-07-6-2ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteZamani Mohsen, CT D04 - Petaluma Field Laboratory03/07/2023Lauren Lau
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-03-07-6-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-03-07-6-2 ASTM C1064-17