Sample Record

DIME Sample ID 2024-10-11-113

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 Labs

  • G3 Quality, Incorporated - Cerritos
  • Myers and Sons Construction

Sample Information

Sample Taken Date10/11/2024 Sample Unique Key113
Date that the sample was received by the laboratory/organization performing the testing10/12/2024 Sample typeQuality Control
A brief description of the samplestructural concrete The quantity of what the sample constitutes90 Cy
From where was the sample collectedJob Site First name of sampler or witnessed byBenjamin
Last name of sampler or witnessed byBasquez Title of samplerQC Technician
Telephone number of sampler5717894194 Laboratory sample identificationSC3808-1821
Linked DIME Sample ID The fabricator/manufacturer/facility nameMSC
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberKSTR710
The truck number from where the sample was collectedFirst Truck The batch plant ticket number from where the sample was collected3081
Concrete batch plantOnsite The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedPour Site 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
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Sample File Attachments

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Test File Attachments