Sample Record
Owner Labs
- CT D04 - Petaluma Field Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-05-11-36
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994493 DEA: 043Y0204 EFIS: 0423000189 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-24.63/24.73, 24.65/24.65 |
| Award Date | 01/15/2023 |
| Closeout Date | 03/27/2024 |
| Work Description | Temporary shoring systems to support underground utility installation. |
| Location Description | just north of Russian Gulch State Beach |
| QA Service Level | 1 (Verified on 02/21/2023) |
Sample Information
| Sample Taken Date | 05/11/2023 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 05/16/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Type II/IV cement |
| The quantity of what the sample constitutes | 35 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Andrew | Last name of sampler or witnessed by | Gross |
| Title of sampler | Assistant SR | Telephone number of sampler | 7072497825 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | River Ready Mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 72105003R |
|---|---|---|---|
| The truck number from where the sample was collected | 251 | The batch plant ticket number from where the sample was collected | 1571326 |
| Concrete batch plant | Forestville Canyon Rock | The fabricator/manufacturer designation for the sample | Plant |
| A detailed description of where the material sample was collected | Discharge from pump hose | Where the material sample would have been placed if not sampled | Concrete waler |
| 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: 2023-05-11-36-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-05-11-36-2 ASTM C39-17a (Verified)
DIME Test ID: 2023-05-11-36-3 ASTM C39-17a (Verified)