Sample Record

Owner Lab

  • CT D04 - Petaluma Field Laboratory

DIME Sample ID 2023-05-04-20

Project Information

Project IdentifiersProject ID: 214998
DEA: 044H0504
EFIS: 0413000080
DIST-CO-RTE-PM04-SON-12-25.8-33.3
Award Date07/29/2022
Closeout DateNot set
Work DescriptionBRIDGE SCOUR MITIGATION
Location DescriptionSONOMA COUNTY NEAR SANTA ROSA AT SONOMA CREEK BRIDGE AND AT HOOKER CREEK BRIDGE
QA Service Level1 (Verified on 09/10/2020)

Sample Information

Sample Taken Date05/04/2023 Sample Unique Key20
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 testing05/04/2023
Sample typeQuality Control A brief description of the sampleCIDH Wet Hole PCC
The quantity of what the sample constitutes7 From where was the sample collectedJob Site
First name of sampler or witnessed byZoe Last name of sampler or witnessed bySmith
Title of samplerQC Inspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier20-0306
Structure nameHooker Creek Bridge

Material Information

Material TypeConcrete The concrete mix design numberD67112P1
The truck number from where the sample was collected2465 The batch plant ticket number from where the sample was collected138
Concrete batch plantShamrock Petaluma The fabricator/manufacturer designation for the samplePlant
A detailed description of where the material sample was collectedThe hopper of the concrete pump 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
2023-05-04-20-1ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteZoe Smith, CT D04 - Petaluma Field Laboratory05/04/2023Anthony Tierra
No
Info
2023-05-04-20-2ASTM C1064-12: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteAnthony Tierra, CT D04 - Petaluma Field Laboratory05/04/2023Anthony Tierra
No
Info
2023-05-04-20-3ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement ConcreteZoe Smith, CT D04 - Petaluma Field Laboratory05/04/2023Anthony Tierra
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-05-04-20-1 ASTM C1064-08
DIME Test ID: 2023-05-04-20-2 ASTM C1064-12
DIME Test ID: 2023-05-04-20-3 ASTM C143-10a