Sample Record
Owner Labs
- CT D04 - Petaluma Field Laboratory
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-07-15-3
Project Information
Project Identifiers | Project ID: 214998 DEA: 044H0504 EFIS: 0413000080 |
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DIST-CO-RTE-PM | 04-SON-12-25.8-33.3 |
Award Date | 07/29/2022 |
Closeout Date | Not set |
Work Description | BRIDGE SCOUR MITIGATION |
Location Description | SONOMA COUNTY NEAR SANTA ROSA AT SONOMA CREEK BRIDGE AND AT HOOKER CREEK BRIDGE |
QA Service Level | 1 (Verified on 09/10/2020) |
Sample Information
Sample Taken Date | 07/15/2023 | Sample Unique Key | 3 |
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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 | 07/20/2023 |
Sample type | Quality Assurance | A brief description of the sample | 4 x 8 concrete cylinders (6 totals) |
The quantity of what the sample constitutes | 72 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | MOHSEN | Last name of sampler or witnessed by | Zamani |
Title of sampler | ASR | Telephone number of sampler | 5107746277 |
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 | 20-0305 | |
Structure name | Sonoma Creek Bridge |
Material Information
Material Type | Concrete | The concrete mix design number | H7511503 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 137 | |
Concrete batch plant | Shamrock Petaluma | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | Concrete from wheelbarrow | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-07-15-3-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-07-15-3-2 ASTM C39-17a (Verified)