Sample Record
Owner Labs
- CT SC - 3674 - Pacifica 1
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-06-26-37
Sample Details QR Code
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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 | 06/26/2025 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 06/30/2025 |
| Sample type | Quality Control | A brief description of the sample | Type II-V Cement Wing Wall |
| The quantity of what the sample constitutes | 6 Cylinders 4x8 | 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 | 5103858160 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Wing Wall | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 1521431 |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 41211711 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Kansas St/ 23rd St in SF | 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: 2025-06-26-37-1 ASTM C39-21 (Verified)
DIME Test ID: 2025-06-26-37-2 ASTM C39-21 (Verified)
DIME Test ID: 2025-06-26-37-3 ASTM C39-21 (Verified)