Sample Record

Owner Labs

  • CT SC Sub-unit 3674-102
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2016-02-22-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 7463
DEA: 042640U4
EFIS: 0412000195
DIST-CO-RTE-PM04-SON-101-0.9/3.6
Award Date11/01/2012
Closeout Date06/03/2020
Work DescriptionCONSTRUCT PETALUMA BLVD SOUTH INTERCHANGE, REPLACE PETALUMA RIVER BR
Location DescriptionSONOMA COUNTY IN AND NEAR PETALUMA FROM GUNN DRIVE TO ROUTE 101/116 SEPARATION AND OVERHEAD
QA Service Level1 (Verified on 09/11/2012)

Sample Information

Sample Taken Date02/22/2016 Sample Unique Key1
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 testing02/24/2016
Sample typeQuality Assurance A brief description of the sample2 6X12 Concrete Cylinders
The quantity of what the sample constitutes1209 CY From where was the sample collectedJob Site
First name of sampler or witnessed byPhilip Last name of sampler or witnessed byLatasa
Title of samplerTEC Telephone number of sampler510) 385-7179
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameShamrock Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier200295
Structure namePetaluma River Bridge

Material Information

Material TypeConcrete The concrete mix design number4100A MASTERLIFE
The truck number from where the sample was collected1205 The batch plant ticket number from where the sample was collected435643
Concrete batch plant04 The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledDeck Stage 2
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-02-22-1-1ASTM C39-10: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMM TTOCT HQ - Sacramento Concrete Testing Laboratory03/21/2016MM TTO
Yes
03/21/2016