Sample Record
Owner Labs
- CT D04 - Fairfield Construction Field Office 59-545
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2025-11-25-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000781 DEA: 040P9304 EFIS: 0418000027 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-80-7.6,12.8 |
| Award Date | 03/19/2025 |
| Closeout Date | Not set |
| Work Description | BRIDGE RAILING, MVP, CURB & GUTTER, SIDEWALKS, & ELECTRICAL SYSTEMS. |
| Location Description | CONTRA COSTA COUNTY IN PINOLE AT APPIAN WAY OVERCROSSING AND NEAR HERCULES AT CUMMINGS SKYWAY OVERCROSSING. |
| QA Service Level | 1 (Verified on 12/27/2024) |
Sample Information
| Sample Taken Date | 11/25/2025 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 11/26/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 cylinders |
| The quantity of what the sample constitutes | 4 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Rose | Last name of sampler or witnessed by | Saephan |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex | 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 | 1603374 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 31819654 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of Truck | 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. | |||