Sample Record

Owner Lab

  • Blackburn Consulting

DIME Sample ID 2026-03-20-1

Project Information

Project IdentifiersProject ID: 1000970
DEA: 031J6304
EFIS: 0321000023
DIST-CO-RTE-PM03-SAC-99-6.04/7.06
Award DateNot set
Closeout DateNot set
Work DescriptionWILLOW SLOUGH REPLACEMENT
Location DescriptionSACRAMENTO COUNTY NEAR ELK GROVE FROM 0.2 MILE NORTH OF ARNO ROAD TO 0.4 MILE SOUTH OF DILLARD ROAD
QA Service Level1 (Verified on 02/13/2025)

Sample Information

Sample Taken Date03/20/2026 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sampleClass II AB
The quantity of what the sample constitutes2 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed bySergio Last name of sampler or witnessed byTostado
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Bradshaw Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Granite Bradshaw
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 collectedStockpile at plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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