Sample Record

Owner Lab

  • Structure Cast

DIME Sample ID 2023-06-01-118

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date06/01/2023 Sample Unique Key118
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 testing06/02/2023
Sample typeQuality Control A brief description of the sample8 Cylinders
The quantity of what the sample constitutes1 culvert From where was the sample collectedSource
First name of sampler or witnessed byBrian Last name of sampler or witnessed byFoley
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameStructureCast Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number85SKSCC
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected8828
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBatch Plant 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
2023-06-01-118-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensBrian Foley, Structure Cast06/29/2023Brent Dezember
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-06-01-118-1 ASTM C39-21