Sample Record
Owner Labs
- CT HQ - QAM Sacramento Field Laboratory
- CT D04 - Fairfield Construction Field Office 59-545
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-05-29-67
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994378 DEA: 040K6304 EFIS: 0416000111 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29-16.4/19.0 |
| Award Date | 06/27/2023 |
| Closeout Date | Not set |
| Work Description | BRIDGE RAIL REPLACEMENT AND SHOULDER WIDENING. |
| Location Description | NAPA COUNTY NEAR YOUNTVILLE AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF DRY CREEK BRIDGE TO 0.1 MILE NORTH OF CALIFORNIA DRIVE UNDERCROSSIG |
| QA Service Level | 1 (Verified on 10/27/2022) |
Sample Information
| Sample Taken Date | 05/29/2024 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 | 05/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | stage 2 paving Notch SB/NB |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Amal | Last name of sampler or witnessed by | Mamlouk |
| Title of sampler | ASR | Telephone number of sampler | 9166342698 |
| Laboratory sample identification | 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 | CA Drive UC |
Material Information
| Material Type | Concrete | The concrete mix design number | D67115P1 |
|---|---|---|---|
| The truck number from where the sample was collected | 2448 | The batch plant ticket number from where the sample was collected | 615497 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | wheelbarrow | Where the material sample would have been placed if not sampled | |
| 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: 2024-05-29-67-3 ASTM C39-17a (Verified)