Sample Record
Owner Labs
- CT SC - 3674 - Livermore
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-07-26-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995254 DEA: 040P9204 EFIS: 0418000026 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-680-6.4/6.6 |
| Award Date | 12/20/2024 |
| Closeout Date | Not set |
| Work Description | HMA AND RHMA SURFACING, DECK REPAIR, POLYESTER OVERLAY AND JOIN SEALS |
| Location Description | ALAMEDA COUNTY IN FREMONT FROM 0.1 MILE SOUTH OF MISSION SAN JOSE 680/238 SEPARATION TO 0.3 MILE NORTH OF MISSION SAN JOSE 680/238 SEPARATION |
| QA Service Level | 1 (Verified on 10/17/2023) |
Sample Information
| Sample Taken Date | 07/26/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 08/13/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Rapid set concrete mix |
| The quantity of what the sample constitutes | 159.7 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ibrahim | Last name of sampler or witnessed by | Marji |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Myers | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Mission San Jose Separation (MODIFY) | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 675CTSRSC |
|---|---|---|---|
| The truck number from where the sample was collected | Load 11 and 21 | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | back of truck | 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: 2025-07-26-4-1 ASTM C39-17a (Verified)
DIME Test ID: 2025-07-26-4-2 ASTM C39-17a (Verified)