Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2022-10-21-70
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Project Information
| Project Identifiers | Project ID: 215425 DEA: 06360244 EFIS: 0613000005 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-99-30.6/35.2 |
| Award Date | 04/23/2021 |
| Closeout Date | Not set |
| Work Description | Widen Freeway & Bridge Construction (Concrete Bridge) |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
| Sample Taken Date | 10/21/2022 | Sample Unique Key | 70 |
|---|---|---|---|
| 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 | 10/22/2022 |
| Sample type | Quality Control | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 18 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Tyler | Last name of sampler or witnessed by | Graber |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Job Site | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 280402 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 1 | The batch plant ticket number from where the sample was collected | 0 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | Set 1 | |
| A detailed description of where the material sample was collected | Packwood SB PT Blockout | 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: 2022-10-21-70-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-21-70-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-21-70-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-21-70-4 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-21-70-5 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-21-70-6 CTM 557-June 2020 (Verified)
DIME Test ID: 2022-10-21-70-7 CTM 518-June 2010 (Verified)
DIME Test ID: 2022-10-21-70-8 CTM 504-June 2010 (Verified)
DIME Test ID: 2022-10-21-70-9 CTM 556-June 2010 (Verified)