Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2025-12-11-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000561 DEA: 010J8904 EFIS: 0119000119 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-36-3.9/6.0 |
| Award Date | 12/06/2024 |
| Closeout Date | Not set |
| Work Description | HOT MIX ASPHALT, AGGREGATE BASE, AND STRUCTURAL CONCRETE. |
| Location Description | HUMBOLDT COUNTY AT CARLOTTA FROM 0.2 MILE WEST OF FISHER ROAD TO 0.2 MILE WEST OF WILDER ROAD |
| QA Service Level | 1 (Verified on 09/23/2024) |
Sample Information
| Sample Taken Date | 12/11/2025 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 12/12/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 3x6 UHPC Cylinders |
| The quantity of what the sample constitutes | 25 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Steelike | Last name of sampler or witnessed by | Representative |
| Title of sampler | Steelike UHPC Representative | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Steelike Concrete | Transportation Laboratory (TL) Number | 25-134 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Precast Prestressed Concrete Slab Keyway (Stage 1) | Bid Item | 92 - ERECT PRECAST CONCRETE DECK UNIT |
Material Information
| Material Type | Concrete | The concrete mix design number | Steelike UHPC Mix Design |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Ready Mix Truck Chute | Where the material sample would have been placed if not sampled | |
| From Lot No. | 072425 | Bag Lot No. | 072425 |
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. | |||