Sample Record

Owner Lab

  • Pavement Engineers

DIME Sample ID 2023-08-02-85

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 Date08/02/2023 Sample Unique Key85
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 testing08/03/2023
Sample typeQuality Control A brief description of the sampleconcrete
The quantity of what the sample constitutes20 CY From where was the sample collectedJob Site
First name of sampler or witnessed byAlex Last name of sampler or witnessed byLong
Title of samplerField Technician Telephone number of sampler
Laboratory sample identificationS-298 - S-303 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 identifier
Structure nameRW 1 top footings and will move to DS 23 footings

Material Information

Material TypeConcrete The concrete mix design numberSL4201CG
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collected400300
Concrete batch plantShamrock Materials petaluma The fabricator/manufacturer designation for the sampleSL4201CG
A detailed description of where the material sample was collectedchute Where the material sample would have been placed if not sampledconcrete
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-08-02-85-1ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMichelle Holub, Pavement Engineers08/09/2023Michelle Holub
Yes
08/22/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-08-02-85-1 ASTM C39-21 (Verified)