Sample Record

Owner Lab

  • CT SC - 3667 - Chico

DIME Sample ID 2026-02-10-13

Project Information

Project IdentifiersProject ID: 1000637
DEA: 031H1404
EFIS: 0316000060
DIST-CO-RTE-PM03-BUT-99-R3.1/5.0
Award Date01/08/2025
Closeout DateNot set
Work DescriptionRHMA, HMA, LIGHTING SYSTEMS, CURB RAMPS, SIDEWALKS, AND DRIVEWAYS.
Location DescriptionBUTTE COUNTY IN AND NEAR GRIDLEY FROM HOLLIS LANE TO 0.2 MILE NORTH OF FORD AVENUE
QA Service Level1 (Verified on 11/06/2024)

Sample Information

Sample Taken Date02/10/2026 Sample Unique Key13
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 testing02/11/2026
Sample typeAcceptance A brief description of the sampleType II/IV Cement, 1" aggregate Concrete
The quantity of what the sample constitutes6 - 4x8 Cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byGarrett Last name of sampler or witnessed byBerna
Title of samplerASR Telephone number of sampler5309540868
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMathews Readymix Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameGridley Rehab Bid Item82 - STRUCTURAL CONCRETE, BOX CULVERT

Material Information

Material TypeConcrete The concrete mix design number06316P15
The truck number from where the sample was collected718 The batch plant ticket number from where the sample was collected18033153
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedsampled from revolving drum truck into a wheelbarrow 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
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