Sample Record
Owner Lab
- CT D05 - Paso Robles Field Laboratory
DIME Sample ID 2025-07-10-53
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215038 DEA: 051J7804 EFIS: 0518000052 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-101-61.88/61.88 |
| Award Date | 10/22/2024 |
| Closeout Date | Not set |
| Work Description | SAFETY IMPROVEMENTS |
| Location Description | WELLSONA SAFETY IMPROVEMENTS, SLO 101 |
| QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
| Sample Taken Date | 07/10/2025 | Sample Unique Key | 53 |
|---|---|---|---|
| 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 | 07/15/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete with fibers |
| The quantity of what the sample constitutes | 171 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Juan | Last name of sampler or witnessed by | De La Torre |
| Title of sampler | ASR | Telephone number of sampler | 559-363-0082 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CalPortland | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 49-0279 L | |
| Structure name | Wellsona Left | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 710RHS1210 |
|---|---|---|---|
| The truck number from where the sample was collected | 6603 | The batch plant ticket number from where the sample was collected | 2108048 |
| Concrete batch plant | Paso Robles | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Tail gate | Where the material sample would have been placed if not sampled | Left deck |
| 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. | |||