Sample Record

Owner Labs

  • CT SC - 3672 - Novato Field Office
  • CT HQ - Vallejo Field Laboratory

DIME Sample ID 2025-12-04-23

Project Information

Project IdentifiersProject ID: 1000731
DEA: 042Q4404
EFIS: 0419000013
DIST-CO-RTE-PM04-SON-121-6.5,8.4
Award Date04/07/2025
Closeout DateNot set
Work DescriptionREMOVE BR AND AC SURF, CONSTRUCT BR DECK, RAILING AND POLYESTER CONC.
Location DescriptionSONOMA COUNTY NEAR SONOMA AT YELLOW CREEK BRIDGE AND AT ARROYO SECO BRIDGE
QA Service Level1 (Verified on 10/16/2024)

Sample Information

Sample Taken Date12/04/2025 Sample Unique Key23
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 testing12/04/2025
Sample typeQuality Assurance A brief description of the sample3 4x8 cylinders
The quantity of what the sample constitutes6 CY From where was the sample collectedJob Site
First name of sampler or witnessed byMohammed Salman Last name of sampler or witnessed byAlam
Title of samplerASR Telephone number of sampler5104354230
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNorthgate Ready Mix Sonoma Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier20-0021
Structure nameYELLOW CREEK BRIDGE Curb Bid Item67 - CONCRETE BARRIER (TYPE 85 MODIFIED)

Material Information

Material TypeConcrete The concrete mix design number3B7181
The truck number from where the sample was collected5681044 The batch plant ticket number from where the sample was collected812007
Concrete batch plant812 The fabricator/manufacturer designation for the sampleNorthgate
A detailed description of where the material sample was collectedBack of Truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2025-12-04-23-1ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteMohammed Salman Alam, CT SC - 3672 - Novato Field Office12/04/202512/05/2025
No
2025-12-04-23-2ASTM C143-15a: Standard Test Method for Slump of Hydraulic-Cement ConcreteMohammed Salman Alam, CT SC - 3672 - Novato Field Office12/04/202512/05/2025
No

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2025-12-04-23-1 ASTM C1064-17
DIME Test ID: 2025-12-04-23-2 ASTM C143-15a