Sample Record

Owner Labs

  • Pro-Cast Products, Incorporated - Pleasant Grove
  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-05-12-6

Project Information

Project IdentifiersProject ID: 1000683
DEA: 11056404
EFIS: 1124000359
DIST-CO-RTE-PM11-SD-11-0.6/2.7
Award Date12/20/2024
Closeout DateNot set
Work DescriptionPERFORM GRADING, CONSTRUCT DRAINAGE FACILITIES, SIGNS AND STRIPING.
Location DescriptionSAN DIEGO COUNTY NEAR SAN DIEGO FROM 0.2 MILE WEST OF SANYO AVENUE UNDERCROSSING TO 0.2 MILE EAST OF SIEMPRE VIVA ROAD OVERCROSSING
QA Service Level1 (Verified on 01/17/2025)

Sample Information

Sample Taken Date05/12/2025 Sample Unique Key6
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 testing05/12/2025
Sample typeQuality Assurance A brief description of the sampleQA cylinders
The quantity of what the sample constitutes10 Cy From where was the sample collectedFabricator
First name of sampler or witnessed byKent Allen Last name of sampler or witnessed byKent Allen
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameProCast Products Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypePrecast Concrete The concrete mix design number123456
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected123456
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedVendor batch plant Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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