Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2026-06-04-100

Project Information

Project IdentifiersProject ID: 1001902
DEA: 061H6704
EFIS: 0625000240
DIST-CO-RTE-PM06-TUL-190-26.65
Award Date07/28/2026
Closeout DateNot set
Work DescriptionReplace 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 DescriptionTule River Bridge (BR #46-0187).
QA Service Level1 (Verified on 01/08/2026)

Sample Information

Sample Taken Date06/04/2026 Sample Unique Key100
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 testing06/05/2026
Sample typeQuality Assurance A brief description of the sampleConcrete
The quantity of what the sample constitutes18 cy From where was the sample collectedJob Site
First name of sampler or witnessed byAdam Last name of sampler or witnessed byMahmoud
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCALPORTLAND Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number163459
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected294948
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete 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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