Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2026-04-09-14
Project Information
| Project Identifiers | Project ID: 1001955 DEA: 061H6904 EFIS: 0625000252 COOP: NONE |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-190-42.75 |
| Award Date | 07/14/2025 |
| Closeout Date | Not set |
| Work Description | Install Sidehill Viaduct (Bridge No. 46-0285). |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 02/17/2026) |
Sample Information
| Sample Taken Date | 04/09/2026 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Backfill Soldier Pile Wall |
| The quantity of what the sample constitutes | 26CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Christian | Last name of sampler or witnessed by | Saurez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CALPORTLAND | 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 | 163459D |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
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. | |||
