Sample Record
Owner Lab
- Structure Cast
DIME Sample ID 2025-08-01-7
Project Information
| Project Identifiers | Project ID: 1000697 DEA: 021J75U4 EFIS: 0224000092 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-36-14.4/R16.8 |
| Award Date | 01/23/2025 |
| Closeout Date | Not set |
| Work Description | PLACE HMA AND CLASS 2 AB, EXCAVATE ROADWAY, & INSTALL LIGHTING SYSTEM. |
| Location Description | LASSEN COUNTY ABOUT 9 MILES WEST OF SUSANVILLE FROM 1.3 MILES WEST TO 1.2 MILES EAST OF WILLARD CREEK ROAD |
| QA Service Level | 1 (Verified on 10/24/2024) |
Sample Information
| Sample Taken Date | 08/01/2025 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 testing | 08/01/2025 |
| Sample type | Quality Control | A brief description of the sample | SCC |
| The quantity of what the sample constitutes | 5.5 cy | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Foley |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Structure Cast | 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 | 9skscc-TIT |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 111111 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | wheelbarrow | 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. | |||
