Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2026-06-04-100
Project Information
| Project Identifiers | Project ID: 1001902 DEA: 061H6704 EFIS: 0625000240 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-190-26.65 |
| Award Date | 07/28/2026 |
| Closeout Date | Not set |
| Work Description | Replace exiting bridge rail on EB direction of SR 190, demo and reconstruct overhang, remove existing AC overlay, deck overhang strengthening at bridge rail, poly conc overlay, install new ST-75 barrier rail. |
| Location Description | Tule River Bridge (BR #46-0187). |
| QA Service Level | 1 (Verified on 01/08/2026) |
Sample Information
| Sample Taken Date | 06/04/2026 | Sample Unique Key | 100 |
|---|---|---|---|
| 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 | 06/05/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete |
| The quantity of what the sample constitutes | 18 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Adam | Last name of sampler or witnessed by | Mahmoud |
| 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 | 163459 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 294948 | |
| 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. | |||
