Sample Record

Owner Lab

  • CT D05 - Paso Robles Field Laboratory

DIME Sample ID 2026-03-12-33

Project Information

Project IdentifiersProject ID: 1000685
DEA: 051J9704
EFIS: 0518000095
DIST-CO-RTE-PM05-SLO-58-1.8/6.9
Award Date03/05/2025
Closeout DateNot set
Work DescriptionPAVEMENT PRESERVATION, DRAINAGE IMPROVEMENTS, INSTALL COUNT STATIONS.
Location DescriptionSAN LUIS OBISPO COUNTY IN AND NEAR SANTA MARGARITA FROM I STREET TO STATE ROUTE 229.
QA Service Level1 (Verified on 10/10/2024)

Sample Information

Sample Taken Date03/12/2026 Sample Unique Key33
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 testing03/13/2026
Sample typeQuality Assurance A brief description of the sampleBarrier Slab Concrete
The quantity of what the sample constitutes28.55 CY From where was the sample collectedJob Site
First name of sampler or witnessed byIsaac Last name of sampler or witnessed by Larey-Chezem
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCal Portland Paso Robles Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number710RHS1210
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected2172396
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of truck chute 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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