Sample Record
Owner Lab
- Pavement Engineers
DIME Sample ID 2023-08-25-54
Project Information
Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
---|---|
DIST-CO-RTE-PM | 04-MRN-101-R20.8/27.1 |
Award Date | 04/26/2022 |
Closeout Date | Not set |
Work Description | CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL. |
Location Description | MARIN 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 Level | 1 (Verified on 11/01/2021) |
Sample Information
Sample Taken Date | 08/25/2023 | Sample Unique Key | 54 |
---|---|---|---|
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 | 08/26/2023 |
Sample type | Quality Control | A brief description of the sample | concrete |
The quantity of what the sample constitutes | 27CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Cameron | Last name of sampler or witnessed by | Carlson |
Title of sampler | QC Field Technician | Telephone number of sampler | |
Laboratory sample identification | S-407- S-412 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Shamrock Materials Petaluma | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | drainage systems |
Material Information
Material Type | Concrete | The concrete mix design number | SL-4201CG |
---|---|---|---|
The truck number from where the sample was collected | 2416 | The batch plant ticket number from where the sample was collected | 419506 |
Concrete batch plant | Shamrock Materials | The fabricator/manufacturer designation for the sample | SL-4201CG |
A detailed description of where the material sample was collected | back of truck | Where the material sample would have been placed if not sampled | drainage system |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2023-08-25-54-1 ASTM C39-21 (Verified)
DIME Test ID: 2023-08-25-54-2 ASTM C39-21 (Verified)