Sample Record

Owner Lab

  • Con-Fab California Corporation - Lathrop

DIME Sample ID 2025-06-26-113

Project Information

Project IdentifiersProject ID: 1000015
DEA: 033H8304
EFIS: 0318000075
DIST-CO-RTE-PM03-PLA-49-3.5/7.5
Award Date01/06/2025
Closeout DateNot set
Work DescriptionCONSTRUCT SIDEWALKS, CURB RAMPS AND DRAINAGE FACILITIES. CONSTRUCT PEDESTRIAN BRIDGE
Location DescriptionPLACER COUNTY IN AND NEAR AUBURN FROM 0.3 MILE NORTH OF ROUTE 80/49 SEPARATION TO 0.1 MILE NORTH OF DRY CREEK ROAD
QA Service Level1 (Verified on 01/18/2024)

Sample Information

Sample Taken Date06/26/2025 Sample Unique Key113
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 testing06/26/2025
Sample typeQuality Control A brief description of the sample1 Bucket of 1/2", 1 Bucket of 3/8", One Bucket of Sand
The quantity of what the sample constitutes1 Bucket of 1/2", 1 Bucket of 3/8", One Bucket of Sand From where was the sample collectedSource
First name of sampler or witnessed byMark Patrick Last name of sampler or witnessed byBaddu
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConFab Lathrop Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Confab California Lathrop
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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