Sample Record
Owner Labs
- CT D04 - Fairfield Construction Field Office 59-545
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2026-04-27-36
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001375 DEA: 040A53T4 EFIS: 0421000155 COOP: 040A53TCM |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-L1.8/L3.2 |
| Award Date | 06/20/2025 |
| Closeout Date | Not set |
| Work Description | Construct I-80 WB Truck Scales |
| Location Description | CONSTRUCTION ON STATE HIGHWAY IN SOLANO COUNTY IN AND NEAR FAIRFIELD ON ROUTE 12 FROM THE 80/12 EAST JUNCTION TO 0.9 MILE EAST OF CHADBOURNE ROAD UNDERCROSSING AND ON ROUTE 80 FROM 0.5 MILE WEST OF DAN WILSON CREEK BRIDGE TO WEST TEXAS STREET UNDERCROSSI |
| QA Service Level | 1 (Verified on 07/10/2025) |
Sample Information
| Sample Taken Date | 04/27/2026 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 04/30/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 4000 psi concrete |
| The quantity of what the sample constitutes | 45 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brittaney | Last name of sampler or witnessed by | Benesh |
| Title of sampler | ASR | Telephone number of sampler | 5108132780 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Central Concrete Lake Herman Vallejo | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Retaining Wall | Bid Item | 104 - STRUCTURAL CONCRETE, WALL FACING |
Material Information
| Material Type | Concrete | The concrete mix design number | D20115E1 |
|---|---|---|---|
| The truck number from where the sample was collected | 8093 | The batch plant ticket number from where the sample was collected | 1060426 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | back of truck load 3 | 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: 2026-04-27-36-1 ASTM C143-20
DIME Test ID: 2026-04-27-36-2 ASTM C1064-17
DIME Test ID: 2026-04-27-36-3 ASTM C39-21 (Verified)