Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2023-09-12-12
Project Information
Project Identifiers | Project ID: 214998 DEA: 044H0504 EFIS: 0413000080 |
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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 |
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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 |
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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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |