Sample Record

Owner Labs

  • CT D04 - Petaluma Field Laboratory
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2023-07-15-2

Project Information

Project IdentifiersProject ID: 214998
DEA: 044H0504
EFIS: 0413000080
DIST-CO-RTE-PM04-SON-12-25.8-33.3
Award Date07/29/2022
Closeout DateNot set
Work DescriptionBRIDGE SCOUR MITIGATION
Location DescriptionSONOMA COUNTY NEAR SANTA ROSA AT SONOMA CREEK BRIDGE AND AT HOOKER CREEK BRIDGE
QA Service Level1 (Verified on 09/10/2020)

Sample Information

Sample Taken Date07/15/2023 Sample Unique Key2
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 testing07/20/2023
Sample typeQuality Assurance A brief description of the sample4 x 8 concrete cylinders (6 totals)
The quantity of what the sample constitutes72 CY From where was the sample collectedJob Site
First name of sampler or witnessed byMOHSEN Last name of sampler or witnessed byZamani
Title of samplerASR Telephone number of sampler5107746277
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Petaluma Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier20-0305
Structure nameSonoma Creek Bridge

Material Information

Material TypeConcrete The concrete mix design numberH7511503
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected137
Concrete batch plantShamrock Petaluma The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-07-15-2-1ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory07/20/2023SA
Yes
07/21/2023
2023-07-15-2-2ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory08/14/2023SA
Yes
08/14/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-07-15-2-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-07-15-2-2 ASTM C39-17a (Verified)