Sample Record
Owner Labs
- CT SC - 3672 - Santa Rosa
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-06-06-25
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001009 DEA: 043X0504 EFIS: 0425000193 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116-10.4 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Apply traffic control systems, remove dirt and debris from slide, install RSP, drainage, erosion control, and reestablish MGS System. |
| Location Description | In Sonoma County on State Route 116 at PM 10.4 near Montesano. |
| QA Service Level | 1 (Verified on 03/10/2025) |
Sample Information
| Sample Taken Date | 06/06/2025 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 06/12/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete for a waler on a soldier pile wall. |
| The quantity of what the sample constitutes | 18 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kyle | Last name of sampler or witnessed by | Whitman |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Canyon Rock | 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 | 72105003R |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 42998 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | 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: 2025-06-06-25-1 ASTM C39-21 (Verified)
DIME Test ID: 2025-06-06-25-2 ASTM C39-21 (Verified)