Sample Record

Owner Lab

  • Ghilotti Construction Company

DIME Sample ID 2023-05-30-70

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 Date05/30/2023 Sample Unique Key70
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 testingNot set
Sample typeQuality Control A brief description of the sampleconcrete
The quantity of what the sample constitutes16 CY From where was the sample collectedJob Site
First name of sampler or witnessed byZoe Last name of sampler or witnessed bySmith
Title of sampler 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 identifier
Structure name

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 collected346197
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE OF TRUCK 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
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Sample File Attachments

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Test File Attachments