Sample Record

Owner Lab

  • CT SC - 3667 - Chico

DIME Sample ID 2024-10-04-9

Project Information

Project IdentifiersProject ID: 994309
DEA: 033H5404
EFIS: 0318000012
DIST-CO-RTE-PM03-BUT-70-46.0/47.0
Award Date02/10/2023
Closeout DateNot set
Work DescriptionRAISE ALIGNMENT, PLACE HMA, STRUCTURAL CONCRETE & BRIDGE RAIL.
Location DescriptionBUTTE COUNTY NEAR PARADISE FROM 0.8 MILE WEST OF SHADY REST AREA TO 0.2 MILE EAST OF SHADY REST AREA
QA Service Level1 (Verified on 10/04/2022)

Sample Information

Sample Taken Date10/04/2024 Sample Unique Key9
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 testing10/04/2024
Sample typeQuality Assurance A brief description of the sampleWall 1 Barrier Slab Concrete
The quantity of what the sample constitutes153CY From where was the sample collectedJob Site
First name of sampler or witnessed byJason Last name of sampler or witnessed byCharmbury
Title of sampler Telephone number of sampler5303206459
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMathews Ready Mix Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberG72157PA
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected16029963
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

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Test File Attachments