Sample Record
Owner Lab
- CT HQ - Vallejo Field Laboratory
DIME Sample ID 2026-06-10-21
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 | 06/10/2026 | Sample Unique Key | 21 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 06/11/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Three 4"x8" Cylinders |
| The quantity of what the sample constitutes | 14.5 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 California, LLC - Shafter | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Willow Slough Bridge | Bid Item | Not set |
Material Information
| Material Type | Precast Concrete | The concrete mix design number | S_90T25_SOL_F150 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 7489 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete sample from wheelbarrow of 4th load of concrete | Where the material sample would have been placed if not sampled | WG2.1#3 Deck |
| 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. | |||