Sample Record

Owner Labs

  • Sierra Geotech DBE, Incorporated
  • Viking Construction Company, Incorporated - Rancho Cordova

DIME Sample ID 2025-07-24-81

Project Information

Project IdentifiersProject ID: 1000272
DEA: 100V4804
EFIS: 1013000264
DIST-CO-RTE-PM10-CAL-26-21.8/30.3
Award Date09/09/2024
Closeout DateNot set
Work DescriptionSLOPE STABILIZATION AND CONSTRUCT RETAINING WALL.
Location DescriptionCALAVERAS 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 Level1 (Verified on 04/15/2024)

Sample Information

Sample Taken Date07/24/2025 Sample Unique Key81
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 testing07/24/2025
Sample typeQuality Control A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byOrlando Last name of sampler or witnessed byComino
Title of sampler Telephone number of sampler
Laboratory sample identification71RSR4 Linked DIME Sample ID
The fabricator/manufacturer/facility name711 Materials - San Andreas Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameWall 3 Piles 15-23 odd Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number800889A
The truck number from where the sample was collected84014 The batch plant ticket number from where the sample was collected933594
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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