Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-07-30-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000563 DEA: 021H7104 EFIS: 0217000013 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-3,5-L47.4,R45.5/R46.0 |
| Award Date | 11/13/2024 |
| Closeout Date | Not set |
| Work Description | NEW MECHANIC SHOP AT YREKA MAINTENANCE STATION. |
| Location Description | SISKIYOU COUNTY IN YREKA ON ROUTE 3 AT YREKA MAINTENANCE STATION AND ON ROUTE 5 FROM 0.2 MILE SOUTH TO 0.4 MILE NORTH OF SOUTH YREKA UNDERCROSSING #02-0159 |
| QA Service Level | 1 (Verified on 09/24/2024) |
Sample Information
| Sample Taken Date | 07/30/2025 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Control | A brief description of the sample | test |
| The quantity of what the sample constitutes | Test | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | test | Last name of sampler or witnessed by | teset |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | test | 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 | Precast Concrete | The concrete mix design number | test |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | test | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | tset | Where the material sample would have been placed if not sampled | |
| 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. | |||