Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2024-11-21-63
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995061 DEA: 081J9104 EFIS: 0818000135 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV,SBD-10,15,60,62,91,etc.-Var |
| Award Date | 10/11/2023 |
| Closeout Date | 06/09/2025 |
| Work Description | MODIFYING CMS SYSTEMS, SIGN FOUNDATION AND SIGN STRUCTURE. |
| Location Description | RIVERSIDE AND SAN BERNARDINO COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 08/15/2023) |
Sample Information
| Sample Taken Date | 11/21/2024 | Sample Unique Key | 63 |
|---|---|---|---|
| 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 | 11/22/2024 |
| Sample type | Quality Control | A brief description of the sample | structural concrete |
| The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jennifer | Last name of sampler or witnessed by | Leon |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex Corona | 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 | 1610974 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 42785969 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Location 2 - CIDH Piles | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-11-21-63-1 CTM 521-June 2020 (Verified)