Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2023-09-12-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214998 DEA: 044H0504 EFIS: 0413000080 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-12-25.8-33.3 |
| Award Date | 07/29/2022 |
| Closeout Date | Not set |
| Work Description | BRIDGE SCOUR MITIGATION |
| Location Description | SONOMA COUNTY NEAR SANTA ROSA AT SONOMA CREEK BRIDGE AND AT HOOKER CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/10/2020) |
Sample Information
| Sample Taken Date | 09/12/2023 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 6 - 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 63 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Ajeakwa |
| Title of sampler | Telephone number of sampler | 3108007053 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock Materials | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 20-0306 | |
| Structure name | Hooker Creek Bridge |
Material Information
| Material Type | Concrete | The concrete mix design number | H7511503 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 138 | |
| Concrete batch plant | Shamrock Petaluma | The fabricator/manufacturer designation for the sample | Plant |
| A detailed description of where the material sample was collected | The hopper of the concrete pump | Where the material sample would have been placed if not sampled | Retaining wall of Abutment 2 |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||