Sample Record

DIME Sample ID 2024-09-09-120

Project Information

Project IdentifiersProject ID: 995524
DEA: 021H3604
EFIS: 0216000040
DIST-CO-RTE-PM02-SIS-96-76.8/78.0
Award Date03/22/2024
Closeout Date12/29/2025
Work DescriptionREPLACE BRIDGE.
Location DescriptionSISKIYOU COUNTY NEAR HORSE CREEK FROM 0.4 MILE WEST OF KLAMATH RIVER BRIDGE TO 2.0 MILES WEST OF KOHL CREEK
QA Service Level1 (Verified on 12/27/2023)

Owner Lab

  • Myers and Sons Construction

Sample Information

Sample Taken Date09/09/2024 Sample Unique Key120
Date that the sample was received by the laboratory/organization performing the testing09/09/2024 Sample typeQuality Control
A brief description of the sampleConcrete cylinder samples 4" dia x 8" long The quantity of what the sample constitutes57.4 CF
From where was the sample collectedSource First name of sampler or witnessed byJaime Rios Godoy
Last name of sampler or witnessed byJaime Rios Godoy Title of samplerQuality Control Inspector
Telephone number of sampler5623219840 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameMyers and Sons Construction
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameHorse Creek CIDH Abutment 4
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberKCIDH
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected001
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedLoad 1 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 TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2024-09-09-120-1CTM 518-June 2010: Method of Test for Unit Weight of Fresh ConcreteJamie Rios Godoy, Myers and Sons Construction09/09/202410/14/2024
No

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2024-09-09-120-1 CTM 518-June 2010
File NameExtensionDate UploadedTest IDActions
09-09-24 02-1H6304 RTE 96 KCIDH CIPSC (28 Day Break Report)pdf10/14/20242024-09-09-120-1   Info