Sample Record
Owner Labs
- CT D04 - Petaluma Field Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-04-03-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994491 DEA: 043Y2404 EFIS: 0423000212 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA/CC-Var-Var/Var |
| Award Date | 01/30/2023 |
| Closeout Date | 03/11/2024 |
| 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 Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 04/03/2023 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 04/10/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Backfill Dry hole |
| The quantity of what the sample constitutes | 10 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Morris |
| Title of sampler | ASR | Telephone number of sampler | 415-716-9113 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Superior Supplies | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | retaining Wall |
Material Information
| Material Type | Concrete | The concrete mix design number | 564-BFCR |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TBD | |
| Concrete batch plant | Superior Supplies | The fabricator/manufacturer designation for the sample | Dry Hole Mix |
| A detailed description of where the material sample was collected | Chute-3Y1604 | Where the material sample would have been placed if not sampled | Soldier Pile dry concrete backfil pile |
| 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: 2023-04-03-21-1 ASTM C39-17a (Verified)