Sample Record

Owner Labs

  • Sierra Geotech DBE Inc.
  • Ghilotti Construction Company

DIME Sample ID 2023-08-21-31

Project Information

Project IdentifiersProject ID: 214998
DEA: 044H0504
EFIS: 0413000080
DIST-CO-RTE-PM04-SON-12-25.8-33.3
Award Date07/29/2022
Closeout DateNot set
Work DescriptionBRIDGE SCOUR MITIGATION
Location DescriptionSONOMA COUNTY NEAR SANTA ROSA AT SONOMA CREEK BRIDGE AND AT HOOKER CREEK BRIDGE
QA Service Level1 (Verified on 09/10/2020)

Sample Information

Sample Taken Date08/21/2023 Sample Unique Key31
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 testing08/22/2023
Sample typeQuality Control A brief description of the samplea total of 6 cylinders of 4x8 size
The quantity of what the sample constitutes18 CY From where was the sample collectedJob Site
First name of sampler or witnessed bySayed Last name of sampler or witnessed byBanouri
Title of samplerInspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier20-0305
Structure name20-0305 Sonoma Bridge

Material Information

Material TypeConcrete The concrete mix design numberD67112P1
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected138
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedOn the hopper 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
2023-08-21-31-1CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement ConcreteSayed Banouri, Ghilotti Construction Company08/21/2023Nishit Prajapati
Yes
01/03/2024
2023-08-21-31-2ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement ConcreteSayed Banouri, Ghilotti Construction Company08/21/2023Nishit Prajapati
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-08-21-31-1 CTM 557-June 2020 (Verified)
DIME Test ID: 2023-08-21-31-2 ASTM C143-10a