Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000603 DEA: 051K4504 EFIS: 0518000209
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-R52.3/R56.1
Work Description: COLD PLANE AND RHMA/HMA ROADWAY AND BRIDGE, & REPLACE CULVERTS.
Location Description: SANTA BARBARA COUNTY NEAR BUELLTON FROM OLD COAST HIGHWAY TO 0.4 MILE SOUTH OF SANTA ROSA ROAD OVERCROSSING
Contractor Name: CALPORTLAND CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Kevin Murdock Structure Rep.: Cliff Raplogle
DIME Sample ID: 2025-07-17-89
TL Number from the TL Form:
Sample Submitted By Organization: Pro-Cast Products, Incorporated - Highland
Sample Organization Contact: (909) 793-7602
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 07/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/18/2025
The quantity of what the sample constitutes: 8 cy
A brief description of the sample: Ready Mix Concrete
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pro-Cast Products
The concrete mix design number: P18051R1
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 1
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.:
DIME Test ID: 2025-07-17-89-1
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Submitted By Organization: Pro-Cast Products, Incorporated - Highland
Organization Address: 27417 East Third Street,
Organization City: Highland
Organization State: CA
Organization Zipcode: 92346
Organization Email: bmalott@procastproducts.com
Organization Phone: (909) 809-2429
Data has not been verified.
DIME Test ID: 2025-07-17-89-2
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Submitted By Organization: Pro-Cast Products, Incorporated - Highland
Organization Address: 27417 East Third Street,
Organization City: Highland
Organization State: CA
Organization Zipcode: 92346
Organization Email: bmalott@procastproducts.com
Organization Phone: (909) 809-2429
Data has not been verified.
DIME Test ID: 2025-07-17-89-3
Test Method: ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Submitted By Organization: Pro-Cast Products, Incorporated - Highland
Organization Address: 27417 East Third Street,
Organization City: Highland
Organization State: CA
Organization Zipcode: 92346
Organization Email: bmalott@procastproducts.com
Organization Phone: (909) 809-2429
Data has not been verified.
