Sample Record
Owner Labs
- G3 Quality, Incorporated - Cerritos
- Myers and Sons Construction
DIME Sample ID 2024-09-03-99
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 | 09/03/2024 | Sample Unique Key | 99 |
|---|---|---|---|
| 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 | 09/03/2024 |
| Sample type | Quality Control | A brief description of the sample | Aggregate for Concrete Mix used in Bridge CIDHS |
| The quantity of what the sample constitutes | 27.5 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mitchell | Last name of sampler or witnessed by | Whitlock |
| Title of sampler | Telephone number of sampler | 9165469009 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Moores Sand and Gravel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Abutment no. 4 | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-45-0043 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | MYERS AND SONS | A detailed description of where the material sample was collected | Onsite Stockpile |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | KCIDH |
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 |
|---|---|---|---|
| 09-03-24 02-1H6304 RTE 96 KCIDH CIPSC (Aggregates) REV | 02/05/2025 | Info |