Sample Record
Owner Lab
- Myers and Sons Construction
DIME Sample ID 2024-09-09-120
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995524 DEA: 021H3604 EFIS: 0216000040 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-76.8/78.0 |
| Award Date | 03/22/2024 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGE. |
| Location Description | SISKIYOU COUNTY NEAR HORSE CREEK FROM 0.4 MILE WEST OF KLAMATH RIVER BRIDGE TO 2.0 MILES WEST OF KOHL CREEK |
| QA Service Level | 1 (Verified on 12/27/2023) |
Sample Information
| Sample Taken Date | 09/09/2024 | Sample Unique Key | 120 |
|---|---|---|---|
| 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 | 09/09/2024 |
| Sample type | Quality Control | A brief description of the sample | Concrete cylinder samples 4" dia x 8" long |
| The quantity of what the sample constitutes | 57.4 CF | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jaime Rios Godoy | Last name of sampler or witnessed by | Jaime Rios Godoy |
| Title of sampler | Quality Control Inspector | Telephone number of sampler | 5623219840 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Myers and Sons Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Horse Creek CIDH Abutment 4 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | KCIDH |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 001 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Load 1 | 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 |
|---|---|---|---|---|---|---|---|---|---|
| 2024-09-09-120-1 | CTM 518-June 2010: Method of Test for Unit Weight of Fresh Concrete | Jamie Rios Godoy, Myers and Sons Construction | 09/09/2024 | 10/14/2024 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-09-120-1 CTM 518-June 2010
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 09-09-24 02-1H6304 RTE 96 KCIDH CIPSC (28 Day Break Report) | 10/14/2024 | 2024-09-09-120-1 | Info |