Sample Record

Owner Lab

  • Pinnacle Prestress, Incorporated

DIME Sample ID 2026-06-19-21

Project Information

Project IdentifiersProject ID: 1001197
DEA: 07319604
EFIS: 0716000025
DIST-CO-RTE-PM07-VEN-1,101-21.3/21.9,R34.9/R36.1
Award Date09/16/2025
Closeout DateNot set
Work DescriptionREMOVE AND CONSTRUCT BRIDGE.
Location DescriptionVENTURA COUNTY ON ROUTE 1 FROM 1.8 MILES NORTH OF ROUTE 1/33 SEPARATION TO 2.0 MILES SOUTH OF A LEASE CANYON ROAD AND ON ROUTE 101 FROM 0.4 MILE NORTH OF DULAH ROAD UNDERCROSSING TO SAN MIGUELITO ROAD UNDERCROSSING
QA Service Level1 (Verified on 07/01/2025)

Sample Information

Sample Taken Date06/19/2026 Sample Unique Key21
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 testing06/19/2026
Sample typeQuality Control A brief description of the sampleCONCRETE ON WHEELBARROL
The quantity of what the sample constitutes19 CY From where was the sample collectedFabricator
First name of sampler or witnessed byRODRIGO Last name of sampler or witnessed byARELLANO
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePinnacle Prestress, Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypePrecast Concrete The concrete mix design numberSSC-ASH25-SF07-9.22-FC6K REV01
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected338
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete Sample 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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