Sample Record
Owner Lab
- CT SC - 3672 - Santa Rosa
DIME Sample ID 2025-10-30-35
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001789 DEA: 043X5704 EFIS: 0425000286 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 10/24/2025) |
Sample Information
| Sample Taken Date | 10/30/2025 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 | 10/30/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Type II Cement |
| The quantity of what the sample constitutes | 8CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jose | Last name of sampler or witnessed by | Caldeorn |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Canyon ROCK | 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 | 72105003R |
|---|---|---|---|
| The truck number from where the sample was collected | 261 | The batch plant ticket number from where the sample was collected | 1763682 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | bucket | 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: 2025-10-30-35-1 ASTM C39-17a (Verified)
DIME Test ID: 2025-10-30-35-2 ASTM C39-17a (Verified)