Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-06-22-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994358 DEA: 033J3304 EFIS: 0322000251 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-12-0/0.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | MMBN Project. Replace backup drive system, replace lift span deck, install hydraulic barrier system and new generator, replace electrical control system, install new traffic gates and elevators, traffic control, |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 10/25/2022) |
Sample Information
| Sample Taken Date | 06/22/2025 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 06/22/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 15 - 4x8 and 2 - 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 19 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Mullins |
| Title of sampler | FFS | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Precision Concrete Materials | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Rio Vista Bridge | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 90479AFP LWA-LWF-A2 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TBD | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | concrete sample from wheelbarrow | Where the material sample would have been placed if not sampled | bridge deck pour 6A |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-06-22-1-2 ASTM C39-18 (Verified)