Sample Record

Owner Lab

  • Con-Fab California Corporation - Lathrop

DIME Sample ID 2025-10-30-1

Project Information

Project IdentifiersProject ID: 1000511
DEA: 06487404
EFIS: 0616000029
DIST-CO-RTE-PM06-TUL-99-35.8/37.1
Award Date01/14/2025
Closeout DateNot set
Work DescriptionREPLACE BRIDGE STRUCTURES AND CONSTRUCT ROUNDABOUTS.
Location DescriptionTULARE COUNTY IN AND NEAR VISALIA FROM 0.6 MILE SOUTH OF AVENUE 280 OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 280 OVERCROSSING
QA Service Level1 (Verified on 08/27/2024)

Sample Information

Sample Taken Date10/30/2025 Sample Unique Key1
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 testing10/30/2025
Sample typeQuality Control A brief description of the sample1 cubic foot
The quantity of what the sample constitutes1 cubic foot From where was the sample collectedFabricator
First name of sampler or witnessed byPatrick Last name of sampler or witnessed byBaddu
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCanFab Lathrop 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 numberVER98LV
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected13270
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBed 7, 3rd Truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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