Sample Record

Owner Lab

  • CT D06 - Fresno Construction Field Office

DIME Sample ID 2025-10-17-11

Project Information

Project IdentifiersProject ID: 215038
DEA: 051J7804
EFIS: 0518000052
DIST-CO-RTE-PM05-SLO-101-61.88/61.88
Award Date10/22/2024
Closeout DateNot set
Work DescriptionSAFETY IMPROVEMENTS
Location DescriptionWELLSONA SAFETY IMPROVEMENTS, SLO 101
QA Service Level1 (Verified on 09/03/2020)

Sample Information

Sample Taken Date10/17/2025 Sample Unique Key11
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleType ll Cement
The quantity of what the sample constitutes66.5 From where was the sample collectedJob Site
First name of sampler or witnessed byAlex Last name of sampler or witnessed byGomez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalPortland Paso Robles Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number510RN1010
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected2137535
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedAbut 2 NB Bridge Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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