Sample Record
Owner Lab
- CT HQ - IA Central / Reference Sample Program
DIME Sample ID 2025-06-16-58
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Project Information
| Project Identifiers | Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-50-L0.2/R6.1 |
| Award Date | 06/30/2020 |
| Closeout Date | Not set |
| Work Description | Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC |
| Location Description | FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE |
| QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
| Sample Taken Date | 06/16/2025 | Sample Unique Key | 58 |
|---|---|---|---|
| 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 | 06/17/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Type II Cement |
| The quantity of what the sample constitutes | 3 sets 4"x8" -> 9 Samples | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Elyas | Last name of sampler or witnessed by | Shamal |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | 115609 |
| 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 | 1619340 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 115609 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | BR#11 JSA H1 H2 | 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. | |||