Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2026-03-20-39

Project Information

Project IdentifiersProject ID: 1000680
DEA: 051G9504
EFIS: 0516000005
DIST-CO-RTE-PM05-SCR-9-9.0/25.5
Award Date06/13/2025
Closeout DateNot set
Work DescriptionDRAINAGE SYSTEM UPGRADES AND SLOPE STABILIZATION AT INLETS & OUTLETS.
Location DescriptionSANTA CRUZ COUNTY NEAR BEN LOMOND AT VARIOUS LOCATIONS FROM SCENIC WAY TO 4.7 MILES NORTH OF THE NORTHERN JUNCTION OF ROUTES 9/236.
QA Service Level1 (Verified on 10/10/2024)

Sample Information

Sample Taken Date03/20/2026 Sample Unique Key39
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 testing03/20/2026
Sample typeAcceptance A brief description of the sampleGrade 80 Reinforcing Bar
The quantity of what the sample constitutes40000 lbs From where was the sample collectedFabricator
First name of sampler or witnessed byEdward Last name of sampler or witnessed byLeach
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePrecast Unlimited Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS38-026-26 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypePrecast Concrete The concrete mix design numberN/A
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected000
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedN/A 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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