Sample Record
Owner Labs
- CT SC - 3665 - Stockton
- CT HQ - FFS - Skid Testing
DIME Sample ID 2025-11-20-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000927 DEA: 101R7204 EFIS: 1023000209 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-5,99-Var |
| Award Date | 05/01/2025 |
| Closeout Date | Not set |
| Work Description | PLACE POLYESTER CONCRETE OVERLAY, TRAFFIC STRIPE, COLD PLANE, AND HMA. |
| Location Description | SAN JOAQUIN COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 04/18/2025) |
Sample Information
| Sample Taken Date | 11/20/2025 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 11/20/2025 |
| Sample type | Acceptance | A brief description of the sample | Skid test on Bridge Deck |
| The quantity of what the sample constitutes | Skid Testing | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Chuck | Last name of sampler or witnessed by | Pazzi |
| Title of sampler | Telephone number of sampler | 530-409-8103 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | McCuen Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Lathrop Road Undercrossing | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | polyester concrete overlay |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | AZ5G00794 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Job site | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||