Sample Record for 2025-11-25-12
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000781 DEA: 040P9304 EFIS: 0418000027
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-80-7.6,12.8
Work Description: BRIDGE RAILING, MVP, CURB & GUTTER, SIDEWALKS, & ELECTRICAL SYSTEMS.
Location Description: CONTRA COSTA COUNTY IN PINOLE AT APPIAN WAY OVERCROSSING AND NEAR HERCULES AT CUMMINGS SKYWAY OVERCROSSING.
Contractor Name: BUGLER CONSTRUCTION, INC.
Contractor Address: 4847 Hopyard Road Ste 4-395, Pleasanton, CA 94588
Resident Engineer: Zhuohang Deng Structure Rep.: Rommoney Wu
Sample Information
DIME Sample ID: 2025-11-25-12
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Fairfield Construction Field Office 59-545
Sample Organization Contact: 510-714-7055
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 11/25/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/26/2025
The quantity of what the sample constitutes: 4 CY
A brief description of the sample: 4x8 cylinders
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex
Material Information
The concrete mix design number: 1603374
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 31819654
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Back of Truck
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2025-11-25-12-1 | ASTM C39-21: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens | 11/26/2025 | 12/23/2025 | Rose Saephan | CT HQ - Vallejo Field Laboratory | received 11/26_Klein | |
151125
