Sample Record

Owner Lab

  • CT D03 - Rocklin Construction Field Office

DIME Sample ID 2025-12-08-3

Project Information

Project IdentifiersProject ID: 1000004
DEA: 033H5604
EFIS: 0318000014
DIST-CO-RTE-PM03-PLA,NEV-20,80-VAR
Award Date05/10/2024
Closeout DateNot set
Work DescriptionSTRUCTURAL CONC, BAR REINFORCING STEEL, BRIDGE REMOVAL, HMA, AND JPCP.
Location DescriptionPLACER AND NEVADA COUNTIES NEAR CISCO GROVE ON ROUTE 80 FROM 0.4 MILE WEST OF LAKE VALLEY OVERCROSSING TO 0.9 MILE EAST OF YUBA PASS SEPARATION AND OVERHEAD AND ON ROUTE 20 AT YUBA PASS SEPARATION AND OVERHEAD
QA Service Level1 (Verified on 01/18/2024)

Sample Information

Sample Taken Date12/08/2025 Sample Unique Key3
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 testingNot set
Sample typeAcceptance A brief description of the sampleSkid Testing Request
The quantity of what the sample constitutesmultiple lanes From where was the sample collectedJob Site
First name of sampler or witnessed byJimmer Last name of sampler or witnessed byRoss
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFlatiron Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier17-0107R
Structure nameYuba Pass Separation and OH Bridge Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePCC (Portland Cement Concrete)
Type of Traffic Control ProvidedBehind K-Rail/Barrier DIST-CO-RTE03-Nev-80
Direction of TravelEast Post Mile
Lanes to be TestedLane #1,Lane #2 Station59.5

Submitted Tests

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