Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-05-21-71
Project Information
| Project Identifiers | Project ID: 1000285 DEA: 042Q4604 EFIS: 0419000015 |
|---|---|
| DIST-CO-RTE-PM | 04-SF-101-0.8,3.4 |
| Award Date | 08/28/2024 |
| Closeout Date | Not set |
| Work Description | BRIDGE RAIL REPLACEMENT. |
| Location Description | THE CITY AND COUNTY OF SAN FRANCISCO AT THIRD STREET UNDERCROSSING AND AT TWENTY THIRD STREET OVERCROSSING. |
| QA Service Level | 1 (Verified on 07/15/2024) |
Sample Information
| Sample Taken Date | 05/21/2025 | Sample Unique Key | 71 |
|---|---|---|---|
| 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 | 05/23/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 4 cylinders (two sets of 2 cylinders) | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sebastian | Last name of sampler or witnessed by | Mofor |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Disney | 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 | 1521431 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1521431 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | COLLECTED AT JOBSITE | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-05-21-71-1 ASTM C39-21 (Verified)
DIME Test ID: 2025-05-21-71-2 ASTM C39-21 (Verified)
DIME Test ID: 2025-05-21-71-3 ASTM C39-21 (Verified)
