Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-07-23-5

Project Information

Project IdentifiersProject ID: 1000264
DEA: 060W90U4
EFIS: 0623000128
DIST-CO-RTE-PM06-TUL-198,216-R11.6/R11.9,R0.0/2.7
Award Date08/29/2024
Closeout DateNot set
Work DescriptionHMA AND MODIFYING SIGNAL AND LIGHTING SYSTEMS.
Location DescriptionTULARE COUNTY IN AND NEAR VISALIA ON ROUTE 216 FROM 0.2 MILE SOUTH OF LOVERS LANE UNDERCROSSING TO 0.2 MILE EAST OF MCAULIFF STREET AND ON ROUTE 198 FROM 0.1 MILE WEST TO 0.2 MILE EAST OF LOVERS LANE UNDERCROSSING
QA Service Level1 (Verified on 04/15/2024)

Sample Information

Sample Taken Date07/23/2025 Sample Unique Key5
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 testingNot set
Sample typeQuality Control A brief description of the sampleSCC
The quantity of what the sample constitutes5 CY From where was the sample collectedFabricator
First name of sampler or witnessed byThomas Last name of sampler or witnessed byTomassini
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameOLD CASTLE PRECAST Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypePrecast Concrete The concrete mix design number88
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedxxxxxxxx
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBatch Plant Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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