Sample Record
Owner Labs
- CT D04 - Petaluma Field Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-05-22-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994494 DEA: 042Y9904 EFIS: 0423000186 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-34.5, 34.5/34.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Fort Ross Wall EFA |
| Location Description | 11 miles north of Jenner |
| QA Service Level | 1 (Verified on 03/13/2023) |
Sample Information
| Sample Taken Date | 05/22/2023 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 05/26/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Micro Pile Concrete Backfill Wet Mix |
| The quantity of what the sample constitutes | 13cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sylva | Last name of sampler or witnessed by | Nwankwo |
| Title of sampler | ASR | Telephone number of sampler | 7134988137 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Canyon Rock - Forestville | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 20-E0010 | |
| Structure name | Fort Ross Retaining Wall |
Material Information
| Material Type | Concrete | The concrete mix design number | 72203043F |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TBD | |
| Concrete batch plant | Forestville Canyon Rock | The fabricator/manufacturer designation for the sample | Wet Hole Concrete Backfill |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | Micropile 32B thru 27A |
| 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: 2023-05-22-3-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-05-22-3-2 ASTM C39-17a (Verified)