Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2024-12-20-51
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Project Information
| Project Identifiers | Project ID: 1001110 DEA: 06484674 EFIS: 0623000083 COOP: 061794 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-- |
| Award Date | 10/03/2024 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 2 (Verified on 03/28/2025) |
Sample Information
| Sample Taken Date | 12/20/2024 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 12/21/2024 |
| Sample type | Quality Control | A brief description of the sample | CIP Concrete |
| The quantity of what the sample constitutes | 1 per 100 cy or a fraction thereof | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Harrison | Last name of sampler or witnessed by | Kain |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Golden empire concrete | 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 | NCT09014 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1074427 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Pedestrian Bridge Footing | 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: 2024-12-20-51-1 CTM 521-June 2020 (Verified)