Sample Record
Owner Labs
- CT SC - 3672 - Santa Rosa
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-09-18-36
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212470 DEA: 044A1304 EFIS: 0400001106 COOP: 042718 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-18.5/18.5 |
| Award Date | 11/17/2023 |
| Closeout Date | Not set |
| Work Description | CONSISTS OF MODIFICATION AND RECONSTRUCTION OF THE EXISTING US 101/HEARN AVENUE INTERCHANGE IN SONOMA COUNTY, INCLUDING REPLACING THE EXISTING TWO-LANE HEARN AVENUE OVERCROSSING WITH A NEW OVERCROSSING, AND MODIFYING THE SOUTHBOUND OFF-RAMP IN CITY |
| Location Description | IN SONOMA COUNTY. |
| QA Service Level | 1 (Verified on 09/23/2019) |
Sample Information
| Sample Taken Date | 09/18/2025 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 testing | 09/24/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete samples from the Wheelbarrow |
| The quantity of what the sample constitutes | 230 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mohammed | Last name of sampler or witnessed by | Aldhaifi |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Superior Supplies Inc. | 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 | 675BDSA |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 312381 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | concrete sample from wheelbarrow | 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: 2025-09-18-36-1 ASTM C39-21 (Verified)
DIME Test ID: 2025-09-18-36-2 ASTM C39-21 (Verified)