Sample Record
Owner Labs
- CT HQ - Sacramento Structural Materials Testing Laboratory
- CT HQ - Sacramento Docking Station Concrete Laboratory
DIME Sample ID 2023-06-20-15
Project Information
Project Identifiers | Project ID: 994491 DEA: 043Y2404 EFIS: 0423000212 |
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DIST-CO-RTE-PM | 04-ALA/CC-Var-Var/Var |
Award Date | 01/30/2023 |
Closeout Date | 03/11/2024 |
Work Description | *** Materials Admin still needs to verify this project's Project Type and Service Level *** |
Location Description | *** Materials Admin still needs to verify this project's Project Type and Service Level *** |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 06/20/2023 | Sample Unique Key | 15 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 06/21/2023 |
Sample type | Quality Assurance | A brief description of the sample | 3 - 4x8 concrete cylinder molds |
The quantity of what the sample constitutes | 18 CY Placed in soldier piles 1 and 3 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jeremy | Last name of sampler or witnessed by | Light |
Title of sampler | Telephone number of sampler | 15103939273 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Shamrock Materials Petaluma | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Emergency soldier pile wall |
Material Information
Material Type | Concrete | The concrete mix design number | SL-4704CG |
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The truck number from where the sample was collected | 2445 | The batch plant ticket number from where the sample was collected | 367854 |
Concrete batch plant | 138 Petaluma | The fabricator/manufacturer designation for the sample | Shamrock Materials |
A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | Piles 1 and 3 |
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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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |