Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2025-10-23-90
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 1001219 DEA: 021J8904 EFIS: 0221000006 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R30.5/R31.0 |
| Award Date | 07/02/2025 |
| Closeout Date | Not set |
| Work Description | REPLACE PAVEMENT AND PLACE POLYESTER CONCRETE OVERLAY. |
| Location Description | SHASTA COUNTY NEAR O\'BRIEN FROM 0.1 MILE SOUTH OF TUNNEL GULCH VIADUCT TO THE O\'BRIEN REST AREA |
| QA Service Level | 1 (Verified on 05/05/2025) |
Sample Information
| Sample Taken Date | 10/23/2025 | Sample Unique Key | 90 |
|---|---|---|---|
| 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 | 10/23/2025 |
| Sample type | Quality Control | A brief description of the sample | 4 x 8 Concrete Cylinders |
| The quantity of what the sample constitutes | 9 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brent | Last name of sampler or witnessed by | Van-Y |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 80373-1 TP Set 1 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Precision Concrete Materials | 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 | Concrete | The concrete mix design number | 80373-1 TP |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 0 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | N/B RTE 5, Shasta County, Departure Slab, Lane 1 | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-10-23-90-1 CTM 557-June 2020 (Verified)
DIME Test ID: 2025-10-23-90-2 CTM 518-June 2010 (Verified)
DIME Test ID: 2025-10-23-90-3 CTM 504-June 2010 (Verified)
DIME Test ID: 2025-10-23-90-4 CTM 533-June 2010 (Verified)
DIME Test ID: 2025-10-23-90-5 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-10-23-90-6 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-10-23-90-7 CTM 521-June 2020 (Verified)