Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2026-04-09-14

Project Information

Project IdentifiersProject ID: 1001955
DEA: 061H6904
EFIS: 0625000252
COOP: NONE
DIST-CO-RTE-PM06-TUL-190-42.75
Award Date07/14/2025
Closeout DateNot set
Work DescriptionInstall Sidehill Viaduct (Bridge No. 46-0285).
Location DescriptionNot set
QA Service Level1 (Verified on 02/17/2026)

Sample Information

Sample Taken Date04/09/2026 Sample Unique Key14
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 sampleConcrete Backfill Soldier Pile Wall
The quantity of what the sample constitutes26CY From where was the sample collectedJob Site
First name of sampler or witnessed byChristian Last name of sampler or witnessed bySaurez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCALPORTLAND 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 number163459D
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete from wheelbarrow 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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