Sample Record
Owner Lab
- CT SC - 3674 - Pacifica 2
DIME Sample ID 2025-09-23-79
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993678 DEA: 042Q8004 EFIS: 0419000050 COOP: 042836,042944 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4 |
| Award Date | 01/22/2025 |
| Closeout Date | Not set |
| Work Description | US 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/15/2022) |
Sample Information
| Sample Taken Date | 09/23/2025 | Sample Unique Key | 79 |
|---|---|---|---|
| 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 | 10/20/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Bent 14 CIDH Concrete |
| The quantity of what the sample constitutes | 194 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Renata | Last name of sampler or witnessed by | Kovalchuk |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Central Concrete | 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 | DDGPV2Q3 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 09089382 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete sample from wheel barrow | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-09-23-79-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-09-23-79-2 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| _20250923_25-HAY-01298_Concrete_Comp | 10/23/2025 | 2025-09-23-79-2 | Info |