Sample Record
Owner Labs
- G3 Quality, Incorporated - Cerritos
- Myers and Sons Construction
DIME Sample ID 2024-10-11-113
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
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 | 10/11/2024 | Sample Unique Key | 113 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 10/12/2024 |
| Sample type | Quality Control | A brief description of the sample | structural concrete |
| The quantity of what the sample constitutes | 90 Cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Benjamin | Last name of sampler or witnessed by | Basquez |
| Title of sampler | QC Technician | Telephone number of sampler | 5717894194 |
| Laboratory sample identification | SC3808-1821 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | MSC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | KSTR710 |
|---|---|---|---|
| The truck number from where the sample was collected | First Truck | The batch plant ticket number from where the sample was collected | 3081 |
| Concrete batch plant | Onsite | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Pour Site | 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 |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||