Sample Record

Owner Lab

  • CT SC - 3665 - Sacramento

DIME Sample ID 2026-03-20-10

Project Information

Project IdentifiersProject ID: 1001933
DEA: 032N3204
EFIS: 0326000042
DIST-CO-RTE-PM03-SUT-99-28.4
Award DateNot set
Closeout DateNot set
Work DescriptionDamaged CMU soundwall
Location DescriptionNot set
QA Service Level1 (Verified on 01/28/2026)

Sample Information

Sample Taken Date03/20/2026 Sample Unique Key10
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 sampleMasonry Grout Sample for Sound WallS
The quantity of what the sample constitutes6 - 4x8 Cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byPhillip Last name of sampler or witnessed byAsher
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSpec Mix 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 numberCore Fill Masonry Grout
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNA
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedPile Sample 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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Sample File Attachments

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Test File Attachments