Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-02-10-35
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215401 DEA: 040Q3004 EFIS: 0418000069 COOP: 042776 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-680-R10.6/R21.9 |
| Award Date | Not set |
| Closeout Date | 09/01/2022 |
| Work Description | I-680 Southbound express lanes and rehabilitation |
| Location Description | I- 680 Southbound from State Route (SR) 84 to Alcosta Boulevard in Alameda County |
| QA Service Level | 2 (Verified on 01/25/2021) |
Sample Information
| Sample Taken Date | 02/10/2025 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 testing | 03/10/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 3 cylinders |
| The quantity of what the sample constitutes | 3 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ibrahim | Last name of sampler or witnessed by | IBRAHIM |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Collected at jobsite | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 172761 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 172761 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | 4x8 3 cylinder | 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: 2025-02-10-35-1 ASTM C39-21 (Verified)