Sample Record

Owner Lab

  • Structure Cast

DIME Sample ID 2025-07-30-35

Project Information

Project IdentifiersProject ID: 1000697
DEA: 021J75U4
EFIS: 0224000092
DIST-CO-RTE-PM02-LAS-36-14.4/R16.8
Award Date01/23/2025
Closeout DateNot set
Work DescriptionPLACE HMA AND CLASS 2 AB, EXCAVATE ROADWAY, & INSTALL LIGHTING SYSTEM.
Location DescriptionLASSEN COUNTY ABOUT 9 MILES WEST OF SUSANVILLE FROM 1.3 MILES WEST TO 1.2 MILES EAST OF WILLARD CREEK ROAD
QA Service Level1 (Verified on 10/24/2024)

Sample Information

Sample Taken Date07/30/2025 Sample Unique Key35
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 testing07/30/2025
Sample typeQuality Control A brief description of the sampleSCC
The quantity of what the sample constitutes5.5 cy From where was the sample collectedFabricator
First name of sampler or witnessed byBrian Last name of sampler or witnessed byFoley
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameStructure Cast 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 number9skscc-TIT
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected111111
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedwheelbarrow 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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