Sample Record

DIME Sample ID 2025-04-28-76

Project Information

Project IdentifiersProject ID: 994084
DEA: 060U8804
EFIS: 0616000074
DIST-CO-RTE-PM06-TUL-99-26.3/27.6
Award Date01/23/2023
Closeout DateNot set
Work DescriptionCONSTRUCT A NEW INTERCHANGE AT COMMERCIAL AVENUE NOW CALLED INTERNATIONAL AGRI-CENTER WAY
Location DescriptionON STATE ROUTE 99
QA Service Level1 (Verified on 03/13/2023)

Owner Lab

  • G3 Quality, Incorporated - Cerritos

Sample Information

Sample Taken Date04/28/2025 Sample Unique Key76
Date that the sample was received by the laboratory/organization performing the testing04/29/2025 Sample typeQuality Control
A brief description of the sample4x8 concrete cylinders The quantity of what the sample constitutes5
From where was the sample collectedJob Site First name of sampler or witnessed byTyler
Last name of sampler or witnessed byGraber Title of samplerQC Field Technician
Telephone number of sampler Laboratory sample identificationMix 18545R, Set 1
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameCalPortland
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifier00-0000 Structure nameAbutment 1
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number18545R
The truck number from where the sample was collectedLoad 1 The batch plant ticket number from where the sample was collected0
Concrete batch plant The fabricator/manufacturer designation for the sampleSet 1
A detailed description of where the material sample was collectedN/E Side of Bridge Deck Where the material sample would have been placed if not sampledUnknown
From Lot No.1 Bag Lot No.1

Submitted Tests

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