Sample Record
Owner Lab
- Construction Testing Services
DIME Sample ID 2025-11-04-54
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994574 DEA: 050C7334 EFIS: 0518000116 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-10.5/13.4 |
| Award Date | 06/29/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs |
| Location Description | SANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/13/2023) |
Sample Information
| Sample Taken Date | 11/04/2025 | Sample Unique Key | 54 |
|---|---|---|---|
| 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 testing | 11/05/2025 |
| Sample type | Quality Control | A brief description of the sample | 4 x 8 concrete cylinders |
| The quantity of what the sample constitutes | 197 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Hiner |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Las Animas | 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 | C2S30 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 396788-396802 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | 21.5" footings at Retaining wall N footing | 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 |
|---|---|---|---|
| 20353 - P1_Concrete_Hiner-2025.11.04-280826 | 11/21/2025 | Info |