Sample Record
Owner Lab
- CT SC - 3667 - Chico
DIME Sample ID 2025-06-02-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001249 DEA: 031N5504 EFIS: 0325000797 |
|---|---|
| DIST-CO-RTE-PM | 03-BUT-70-35/36 |
| Award Date | 11/20/2024 |
| Closeout Date | Not set |
| Work Description | Major Damage Restoration |
| Location Description | BUT 70 Viaduct |
| QA Service Level | 1 (Verified on 05/06/2025) |
Sample Information
| Sample Taken Date | 06/02/2025 | Sample Unique Key | 15 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 06/03/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Bent 8 Right CIDH Pile Mix |
| The quantity of what the sample constitutes | 9 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Charmbury |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mathews Ready Mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 12-0209 | |
| Structure name | Concow Sidehill Viaduct | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 072335F25O |
|---|---|---|---|
| The truck number from where the sample was collected | 842 | The batch plant ticket number from where the sample was collected | 16033335 |
| Concrete batch plant | Mathews Readymix Oroville | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | Bent 8 Right CIDH Pile |
| 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. | |||