Sample Record
Owner Lab
- CT D02 - Red Bluff Field Laboratory
DIME Sample ID 2025-05-21-136
Project Information
| Project Identifiers | Project ID: 1000698 DEA: 024H0704 EFIS: 0218000074 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-139-0.74/11.0 |
| Award Date | 01/29/2025 |
| Closeout Date | Not set |
| Work Description | PLACE HMA (TYPE A), TRAFFIC CONTROL SYSTEM, TRAFFIC STRIPE, RDWY EXC. |
| Location Description | LASSEN COUNTY NEAR SUSANVILLE FROM 0.1 MILE NORTH OF CHESTNUT STREET TO 2.6 MILES SOUTH OF HORSE LAKE ROAD |
| QA Service Level | 1 (Verified on 10/24/2024) |
Sample Information
| Sample Taken Date | 05/21/2025 | Sample Unique Key | 136 |
|---|---|---|---|
| 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 | 05/22/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Test Samples |
| The quantity of what the sample constitutes | 6 Cylinders 4x8 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Delgado |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | TL-502-263596-001 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | White Cap Ready Mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Barrier Slab | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | WC 688 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | C-18552 | |
| Concrete batch plant | Portolla | The fabricator/manufacturer designation for the sample | White Cap Ready Mix |
| A detailed description of where the material sample was collected | Mix Truck | Where the material sample would have been placed if not sampled | Barrier wall |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-05-21-136-1 ASTM C39-21 (Verified)
