Sample Record

Owner Lab

  • CT SC - 3665 - Sacramento

DIME Sample ID 2025-09-07-6

Project Information

Project IdentifiersProject ID: 994310
DEA: 034F6504
EFIS: 0314000233
DIST-CO-RTE-PM03-YOL-50,80-0.0/2.5,4.1/R11.4
Award Date04/07/2023
Closeout DateNot set
Work DescriptionCRCP, HMA (TYPE A), RDWY EXC, CLASS 2 AB, FIBER OPTIC CABLE SYSTEMS.
Location DescriptionYOLO COUNTY IN AND NEAR WEST SACRAMENTO ON ROUTE 80 FROM 1.7 MILES EAST OF MACE BOULEVARD OVERCROSSING TO SACRAMENTO RIVER BRIDGE AND OVERHEAD (BRYTE BEND) AND ON ROUTE 50 FROM ROUTE 80 JUNCTION TO JEFFERSON BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 10/04/2022)

Sample Information

Sample Taken Date09/07/2025 Sample Unique Key6
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 testing09/08/2025
Sample typeQuality Assurance A brief description of the sampleRapid Set Concrete
The quantity of what the sample constitutes3 - 4x8 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byPhillip Last name of sampler or witnessed byAsher
Title of samplerAssistant Structure Representative Telephone number of sampler916-768-8293
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Sacramento Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier22-0149
Structure nameReed Ave UC Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number1629682
The truck number from where the sample was collected72277 The batch plant ticket number from where the sample was collectedCEMEX Sacramento
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of Concrete Truck Where the material sample would have been placed if not sampledAbutment 3 Approach/Departure Slab
From Lot No. Bag Lot No.

Submitted Tests

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