Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-09-29-24
Project Information
| Project Identifiers | Project ID: 1000274 DEA: 041X2804 EFIS: 0424000295 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84-11.2 or 15.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Repair Slip Out |
| Location Description | Niles Canyon |
| QA Service Level | 1 (Verified on 05/10/2024) |
Sample Information
| Sample Taken Date | 09/29/2025 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 09/30/2025 |
| Sample type | Quality Assurance | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | 10 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dylan | Last name of sampler or witnessed by | LaRose |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ghilotti Construction | 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 | 590CR2 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 312602 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Wheel Barrow from Chute | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 26001338.005A_2025-09-29-24-5-HAY-01273_Concrete_Comp | 10/28/2025 | Info |
Test File Attachments
DIME Test ID: 2025-09-29-24-1 ASTM C231-17a
DIME Test ID: 2025-09-29-24-2 ASTM C138-17a
DIME Test ID: 2025-09-29-24-3 CTM 557-July 2012
DIME Test ID: 2025-09-29-24-4 CTM 556-January 2018
DIME Test ID: 2025-09-29-24-5 ASTM C39-21 (Verified)
