Sample Record

DIME Sample ID 2025-12-11-11

Project Information

Project IdentifiersProject ID: 1000561
DEA: 010J8904
EFIS: 0119000119
DIST-CO-RTE-PM01-HUM-36-3.9/6.0
Award Date12/06/2024
Closeout DateNot set
Work DescriptionHOT MIX ASPHALT, AGGREGATE BASE, AND STRUCTURAL CONCRETE.
Location DescriptionHUMBOLDT COUNTY AT CARLOTTA FROM 0.2 MILE WEST OF FISHER ROAD TO 0.2 MILE WEST OF WILDER ROAD
QA Service Level1 (Verified on 09/23/2024)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date12/11/2025 Sample Unique Key11
Date that the sample was received by the laboratory/organization performing the testing12/12/2025 Sample typeQuality Assurance
A brief description of the sample3x6 UHPC Cylinders The quantity of what the sample constitutes25 Cylinders
From where was the sample collectedJob Site First name of sampler or witnessed bySteelike
Last name of sampler or witnessed byRepresentative Title of samplerSteelike UHPC Representative
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameSteelike Concrete
Transportation Laboratory (TL) Number25-134 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure namePrecast Prestressed Concrete Slab Keyway (Stage 1)
Bid Item92 - ERECT PRECAST CONCRETE DECK UNIT

Material Information

Material TypeConcrete The concrete mix design numberSteelike UHPC Mix Design
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedReady Mix Truck Chute Where the material sample would have been placed if not sampled
From Lot No.072425 Bag Lot No.072425

Submitted Tests

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