Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2025-11-21-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000731 DEA: 042Q4404 EFIS: 0419000013 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-121-6.5,8.4 |
| Award Date | 04/07/2025 |
| Closeout Date | Not set |
| Work Description | REMOVE BR AND AC SURF, CONSTRUCT BR DECK, RAILING AND POLYESTER CONC. |
| Location Description | SONOMA COUNTY NEAR SONOMA AT YELLOW CREEK BRIDGE AND AT ARROYO SECO BRIDGE |
| QA Service Level | 1 (Verified on 10/16/2024) |
Sample Information
| Sample Taken Date | 11/21/2025 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 11/21/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 1x4 concrete aggregates |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Casey | Last name of sampler or witnessed by | Farrington |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock | 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 | H7511503 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | conveyor belt | 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. | |||