Sample Record
Owner Labs
- CT D04 - Petaluma Field Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-06-02-6
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 | Not set |
| 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 | 06/02/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 06/08/2023 |
| Sample type | Quality Assurance | A brief description of the sample | CONCRETE WALER |
| The quantity of what the sample constitutes | 40 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kyle | Last name of sampler or witnessed by | Whitman |
| Title of sampler | QA Inspector | Telephone number of sampler | 9252867554 |
| 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 | ||
| Structure name | Retaining Wall |
Material Information
| Material Type | Concrete | The concrete mix design number | 72105003R |
|---|---|---|---|
| The truck number from where the sample was collected | 248 | The batch plant ticket number from where the sample was collected | 1575643 |
| Concrete batch plant | Canyon Rock Forestville | The fabricator/manufacturer designation for the sample | 7.18SK |
| A detailed description of where the material sample was collected | CHUTE OF TRUCK | Where the material sample would have been placed if not sampled | |
| 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: 2023-06-02-6-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-06-02-6-2 ASTM C39-17a (Verified)
DIME Test ID: 2023-06-02-6-3 ASTM C39-17a (Verified)
DIME Test ID: 2023-06-02-6-4 ASTM C39-17a (Verified)