Sample Record

Owner Labs

  • CT SC - 3672 - Novato Field Office
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2024-01-12-16

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN 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 Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date01/12/2024 Sample Unique Key16
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 testing01/12/2024
Sample typeQuality Assurance A brief description of the sample3 4x8 concrete cylinders
The quantity of what the sample constitutes63CY From where was the sample collectedJob Site
First name of sampler or witnessed byJosh Last name of sampler or witnessed byVelono
Title of sampler Telephone number of sampler9162168033
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Materials Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRW2 footing

Material Information

Material TypeConcrete The concrete mix design numberSL-4201CG
The truck number from where the sample was collected2416 The batch plant ticket number from where the sample was collected524527
Concrete batch plant138 Petaluma The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledRW2 whole footing
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-01-12-16-1ASTM C1064-08: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteJosh Velono, CT SC - 3672 - Novato Field Office01/12/2024Josh Velono
No
Info
2024-01-12-16-2ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement ConcreteJosh Velono, CT SC - 3672 - Novato Field Office01/12/2024Josh Velono
No
Info
2024-01-12-16-3ASTM C39-17a: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensSA, CT HQ - Sacramento Concrete Testing Laboratory02/09/2024SA
Yes
02/09/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-01-12-16-1 ASTM C1064-08
DIME Test ID: 2024-01-12-16-2 ASTM C143-20
DIME Test ID: 2024-01-12-16-3 ASTM C39-17a (Verified)