Sample Record for 2026-07-02-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 210094 DEA: 040G3604 EFIS: 0400000326 COOP: 042553A1,042981
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-880,880-31.0/32.4
Work Description: I-880 BROADWAY/ JACKSON INTERCHANGE: Modify Ramps, Hma Pvmt, Bridges, Drainage, Signals, Sw And Bikeway
Location Description: IN ALA COUNTY
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Ct. Bbld. B, Suit 400, Concord CA, 94520
Resident Engineer: cecilia Zamora Structure Rep.: Kristen Wu
Sample Information
DIME Sample ID: 2026-07-02-1
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3674 - Oakland
Sample Organization Contact: (510) 719-7463
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 07/02/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2026
The quantity of what the sample constitutes: 27CY
A brief description of the sample: High Early Strength Concrete
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Central Supply Company
Material Information
The concrete mix design number: H45H1521
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 180092
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: From discharge into bucket
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
