Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2026-04-30-52
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000970 DEA: 031J6304 EFIS: 0321000023 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-99-6.04/7.06 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | WILLOW SLOUGH REPLACEMENT |
| Location Description | SACRAMENTO COUNTY NEAR ELK GROVE FROM 0.2 MILE NORTH OF ARNO ROAD TO 0.4 MILE SOUTH OF DILLARD ROAD |
| QA Service Level | 1 (Verified on 02/13/2025) |
Sample Information
| Sample Taken Date | 04/30/2026 | Sample Unique Key | 52 |
|---|---|---|---|
| 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 | 05/01/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 30 CY | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Stephen | Last name of sampler or witnessed by | Haynes |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 5105931179 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Con-Fab Lathrop | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Willow Slough Bridge | Bid Item | 71 - FURNISH PRECAST CONCRETE ABUTMENT SEGMENT |
Material Information
| Material Type | Precast Concrete | The concrete mix design number | L_85M1L |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 14196 | |
| Concrete batch plant | Johnsons | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Concrete sample from wheelbarrow of 3rd load of concrete | Where the material sample would have been placed if not sampled | WA1 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Test File Attachments
DIME Test ID: 2026-04-30-52-1 ASTM C39-21 (Verified)