Sample Record
Owner Labs
- Calmex
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-05-01-3
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 7 DEA: 010A0804 EFIS: 0100020017 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-29,281-19.0/20.3,14.0/17.0 |
| Award Date | 05/31/2011 |
| Closeout Date | 12/10/2012 |
| Work Description | BONDED WEARING COURSE USING WARM MIX ASPHALT TECHNOLOGY |
| Location Description | LAKE COUNTY NEAR LOWER LAKE ON ROUTE 29 FROM 1.3 MILES SOUTH TO 0.1 MILE SOUTH OF ROUTE 29/53 JUNCTION AND ON ROUTE 281 FROM 1.1 MILES WEST OF POINT LAKEVIEW ROAD TO ROUTE 29/281 JUNCTION |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 05/01/2025 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Control | A brief description of the sample | cores |
| The quantity of what the sample constitutes | 5 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Adriana | Last name of sampler or witnessed by | Ortiz |
| Title of sampler | Telephone number of sampler | 9162688315 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | sfs | 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 | Precast Concrete | The concrete mix design number | 8999999 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 5555 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | 525555 | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||