Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2023-05-04-20
Project Information
Project Identifiers | Project ID: 214998 DEA: 044H0504 EFIS: 0413000080 |
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DIST-CO-RTE-PM | 04-SON-12-25.8-33.3 |
Award Date | 07/29/2022 |
Closeout Date | Not set |
Work Description | BRIDGE SCOUR MITIGATION |
Location Description | SONOMA COUNTY NEAR SANTA ROSA AT SONOMA CREEK BRIDGE AND AT HOOKER CREEK BRIDGE |
QA Service Level | 1 (Verified on 09/10/2020) |
Sample Information
Sample Taken Date | 05/04/2023 | Sample Unique Key | 20 |
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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 | 05/04/2023 |
Sample type | Quality Control | A brief description of the sample | CIDH Wet Hole PCC |
The quantity of what the sample constitutes | 7 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Zoe | Last name of sampler or witnessed by | Smith |
Title of sampler | QC Inspector | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Shamrock | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 20-0306 | |
Structure name | Hooker Creek Bridge |
Material Information
Material Type | Concrete | The concrete mix design number | D67112P1 |
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The truck number from where the sample was collected | 2465 | The batch plant ticket number from where the sample was collected | 138 |
Concrete batch plant | Shamrock Petaluma | The fabricator/manufacturer designation for the sample | Plant |
A detailed description of where the material sample was collected | The 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 ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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2023-05-04-20-1 | ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete | Zoe Smith, CT D04 - Petaluma Field Laboratory | 05/04/2023 | Anthony Tierra | No | Info | ||
2023-05-04-20-2 | ASTM C1064-12: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete | Anthony Tierra, CT D04 - Petaluma Field Laboratory | 05/04/2023 | Anthony Tierra | No | Info | ||
2023-05-04-20-3 | ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete | Zoe Smith, CT D04 - Petaluma Field Laboratory | 05/04/2023 | Anthony Tierra | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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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