Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-09-18-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993595 DEA: 042Q5504 EFIS: 0419000024 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-12-7.9/14.1 |
| Award Date | 02/14/2025 |
| Closeout Date | Not set |
| Work Description | RHMA OVERLAY, REPLACE CULVERTS, BRIDGE RAILS, AND MEDIAN BARRIERS. |
| Location Description | SOLANO COUNTY NEAR SUISUN CITY FROM 0.2 MILE EAST OF LAWLER RANCH PARKWAY TO 0.5 MILE EAST OF SHILOH ROAD |
| QA Service Level | 1 (Verified on 02/22/2022) |
Sample Information
| Sample Taken Date | 09/18/2025 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 09/18/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 9 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Teketse | Last name of sampler or witnessed by | Hailu |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 1624302 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 10076157 | |
| 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: 2025-09-18-28-1 ASTM C39-17a (Verified)
DIME Test ID: 2025-09-18-28-2 ASTM C39-17a (Verified)
DIME Test ID: 2025-09-18-28-3 ASTM C39-17a (Verified)
DIME Test ID: 2025-09-18-28-4 ASTM C1064-17 (Verified)