Sample Record

Owner Lab

  • Pinnacle Prestress, Incorporated

DIME Sample ID 2026-04-16-10

Project Information

Project IdentifiersProject ID: 1001248
DEA: 120K93U4
EFIS: 1224000084
DIST-CO-RTE-PM12-ORA-57,91-13.9/16.1,4.8/6.6
Award Date10/20/2025
Closeout DateNot set
Work DescriptionCONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS.
Location DescriptionANAHEIM AND PLACENTIA ON ROUTE 57 FROM WAGNER AVENUE OVERCROSSING TO 0.2 MILE NORTH OF MIRALOMA AVENUE OVERCROSSING AND ON ROUTE 91 FROM 0.1 MILE EAST OF ACACIA STREET UNDERCROSSING TO 0.2 MILE EAST OF LA PALMA AVENUE OVERCROSSING
QA Service Level1 (Verified on 06/16/2025)

Sample Information

Sample Taken Date04/16/2026 Sample Unique Key10
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 testing04/16/2026
Sample typeQuality Control A brief description of the sampleConcrete in a wheelbarrow
The quantity of what the sample constitutes34 CY From where was the sample collectedFabricator
First name of sampler or witnessed byRodrigo Last name of sampler or witnessed byArellano
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePinnacle Prestress, Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypePrecast Concrete The concrete mix design numberCON-NFA-8.00-FC7K REV 0316226A
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected0018266
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete Sample from Wheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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