Sample Record
Owner Lab
- CT SC - 3665 - Shingle Springs
DIME Sample ID 2025-09-29-55
Project Information
| Project Identifiers | Project ID: 1000437 DEA: 034H9704 EFIS: 0319000128 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-5500- |
| Award Date | 11/01/2024 |
| Closeout Date | Not set |
| Work Description | HEATING VENTILATION AND AIR CONDITIONING REPLACEMENT, ROOF REPAIR. |
| Location Description | SACRAMENTO COUNTY IN RANCHO CORDOVA AT THE REGIONAL TRANSPORTATION MANAGEMENT CENTER, 3165 GOLD VALLEY DRIVE |
| QA Service Level | 1 (Verified on 08/28/2024) |
Sample Information
| Sample Taken Date | 09/29/2025 | Sample Unique Key | 55 |
|---|---|---|---|
| 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 | 10/03/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 3 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Gage | Last name of sampler or witnessed by | Steele |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Livingston's | Transportation Laboratory (TL) Number | 293958 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | TMC Sidewalk | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 650213 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 25-000257 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-09-29-55-1 ASTM C39-21 (Verified)
