Sample Record
Owner Lab
- CT D04 - Richmond Field Laboratory
DIME Sample ID 2026-03-24-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001276 DEA: 043X1004 EFIS: 0425000198 |
|---|---|
| DIST-CO-RTE-PM | 04-SON--36.36 |
| Award Date | 04/21/2025 |
| Closeout Date | Not set |
| Work Description | 3X100 REPAIR SLIPOUT AT STILWATER COVE |
| Location Description | Son-001-PM36.36 |
| QA Service Level | 1 (Verified on 05/22/2025) |
Sample Information
| Sample Taken Date | 03/24/2026 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 03/24/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Class 2 AB |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jose Leon | Last name of sampler or witnessed by | Amparan |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Canyon Rock | 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) | 91-37-0024 |
|---|---|---|---|
| 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 | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | 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. | |||