Sample Record
Owner Lab
- CT SC - 3665 - Shingle Springs
DIME Sample ID 2025-08-14-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000272 DEA: 100V4804 EFIS: 1013000264 |
|---|---|
| DIST-CO-RTE-PM | 10-CAL-26-21.8/30.3 |
| Award Date | 09/09/2024 |
| Closeout Date | Not set |
| Work Description | SLOPE STABILIZATION AND CONSTRUCT RETAINING WALL. |
| Location Description | CALAVERAS COUNTY NEAR MOKELUMNE HILL AT VARIOUS LOCATIONS FROM 3.6 MILES EAST OF ROUTE 49 TO 0.9 MILE WEST OF WOODHOUSE MINE ROAD |
| QA Service Level | 1 (Verified on 04/15/2024) |
Sample Information
| Sample Taken Date | 08/14/2025 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 08/14/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 6 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Spencer | Last name of sampler or witnessed by | Adams |
| Title of sampler | ASR | Telephone number of sampler | 9165941991 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | 711 Materials - San Andreas | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Wall 2 Barrier Slab | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | CT12345 |
|---|---|---|---|
| The truck number from where the sample was collected | 2 | The batch plant ticket number from where the sample was collected | 12345 |
| 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
| 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. | |||