Sample Record
Owner Labs
- CT HQ - Sacramento Structural Materials Testing Laboratory
- CT SC - 3672 - Petaluma
DIME Sample ID 2023-08-16-34
Project Information
Project Identifiers | Project ID: 994402 DEA: 043J0804 EFIS: 0415000078 |
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DIST-CO-RTE-PM | 04-SON-101- |
Award Date | 02/15/2023 |
Closeout Date | Not set |
Work Description | Construct steel sheet pile wall and concrete ditch lining |
Location Description | Not set |
QA Service Level | 1 (Verified on 10/31/2022) |
Sample Information
Sample Taken Date | 08/16/2023 | Sample Unique Key | 34 |
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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 | 08/17/2023 |
Sample type | Quality Assurance | A brief description of the sample | 3 4x8 cylinders |
The quantity of what the sample constitutes | 70 CY Placed in pile cap | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Philip | Last name of sampler or witnessed by | Latasa |
Title of sampler | TEC | Telephone number of sampler | 17072460441 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Ecoterra Ready Mix | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 20-0019Y | |
Structure name | San Antonio Creek Bridge |
Material Information
Material Type | Concrete | The concrete mix design number | 7SK5K1X425F |
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The truck number from where the sample was collected | 2 | The batch plant ticket number from where the sample was collected | 0647 |
Concrete batch plant | 2 | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | Pile cap |
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: 2023-08-16-34-1 ASTM C39-17a (Verified)
DIME Test ID: 2023-08-16-34-2 ASTM C1064-08 (Verified)
DIME Test ID: 2023-08-16-34-3 ASTM C143-20 (Verified)