Sample Record
Owner Lab
- Ghilotti Construction Company
DIME Sample ID 2023-09-13-93
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 | 09/13/2023 | Sample Unique Key | 93 |
|---|---|---|---|
| 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 | 09/14/2023 |
| Sample type | Quality Control | A brief description of the sample | Hooker - Abut and RW |
| The quantity of what the sample constitutes | 153 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mike | Last name of sampler or witnessed by | Kosakowski |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
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 | 432971 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Sample taken from the chute | Where the material sample would have been placed if not sampled | |
| 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. | |||