Sample Record

Owner Labs

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

DIME Sample ID 2023-03-24-6

Project Information

Project IdentifiersProject ID: 994491
DEA: 043Y2404
EFIS: 0423000212
DIST-CO-RTE-PM04-ALA/CC-Var-Var/Var
Award Date01/30/2023
Closeout Date03/11/2024
Work Description*** Materials Admin still needs to verify this project's Project Type and Service Level ***
Location Description*** Materials Admin still needs to verify this project's Project Type and Service Level ***
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/24/2023 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 testing03/29/2023
Sample typeQuality Assurance A brief description of the sampleSoldier Pile concrete backfill pile 20-3Y1604
The quantity of what the sample constitutes18cy From where was the sample collectedJob Site
First name of sampler or witnessed byChris Last name of sampler or witnessed byMorris
Title of samplerASR Telephone number of sampler415-716-9113
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSuperior Supplies Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRetaining Wall 1

Material Information

Material TypeConcrete The concrete mix design number675CIDH
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedTBD
Concrete batch plantSuperior Supplies Santa Rosa The fabricator/manufacturer designation for the sampleWet Hole Concrete Backfill
A detailed description of where the material sample was collectedPM128 RW Pile-20 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-03-24-6-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory04/21/2023SA
Yes
04/21/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-03-24-6-1 ASTM C39-17a (Verified)