Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-07-08-67
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000276 DEA: 043Y8904 EFIS: 0423000327 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-128-29.77-33.45 |
| Award Date | 04/02/2024 |
| Closeout Date | Not set |
| Work Description | Slipout and drainage repairs. |
| Location Description | In Napa County from 1.8 Mile to 5.6 mile east of Wragg Creek bridge. |
| QA Service Level | 1 (Verified on 06/03/2024) |
Sample Information
| Sample Taken Date | 07/08/2025 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 | 08/01/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Cemex cement |
| The quantity of what the sample constitutes | 125 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Myeong | Last name of sampler or witnessed by | Kim |
| Title of sampler | ASR | Telephone number of sampler | |
| 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 | Retaining Wall No.2 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | D20115E1 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 135999 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Chute | 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: 2025-07-08-67-1 ASTM C39-17a (Verified)
DIME Test ID: 2025-07-08-67-2 ASTM C39-17a (Verified)