Sample Record
Owner Labs
- CT SC - 3672 - Novato Field Office
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2025-10-20-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000731 DEA: 042Q4404 EFIS: 0419000013 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-121-6.5,8.4 |
| Award Date | 04/07/2025 |
| Closeout Date | Not set |
| Work Description | REMOVE BR AND AC SURF, CONSTRUCT BR DECK, RAILING AND POLYESTER CONC. |
| Location Description | SONOMA COUNTY NEAR SONOMA AT YELLOW CREEK BRIDGE AND AT ARROYO SECO BRIDGE |
| QA Service Level | 1 (Verified on 10/16/2024) |
Sample Information
| Sample Taken Date | 10/20/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 10/24/2025 |
| Sample type | Acceptance | A brief description of the sample | Polyester Overlay |
| The quantity of what the sample constitutes | 3360 sqft | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Josh | Last name of sampler or witnessed by | Velono |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dees Burke | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 20-0023 | |
| Structure name | Arroyo Seco | Bid Item | 48 - PLACE POLYESTER CONCRETE OVERLAY |
Material Information
| Material Type | Polyester | Mfg. Lot Number(s) | 111 |
|---|---|---|---|
| Batch number | 112 | Mix number | 1112 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-10-20-4-1 CTM 552-December 2013 (Verified)