Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2025-10-15-67
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Project Information
| Project Identifiers | Project ID: 1001219 DEA: 021J8904 EFIS: 0221000006 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R30.5/R31.0 |
| Award Date | 07/02/2025 |
| Closeout Date | Not set |
| Work Description | REPLACE PAVEMENT AND PLACE POLYESTER CONCRETE OVERLAY. |
| Location Description | SHASTA COUNTY NEAR O\'BRIEN FROM 0.1 MILE SOUTH OF TUNNEL GULCH VIADUCT TO THE O\'BRIEN REST AREA |
| QA Service Level | 1 (Verified on 05/05/2025) |
Sample Information
| Sample Taken Date | 10/15/2025 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 | 10/15/2025 |
| Sample type | Quality Control | A brief description of the sample | 1 Inch, WCS |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brent | Last name of sampler or witnessed by | Van-Y |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 80373-1 TP | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Precision Concrete Materials | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-34-0053 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Belt Cut | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 80373-1 TP | Lot number | |
| Sublot number | Aggregate Mix Number |
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. | |||