Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2023-02-16-91
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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 | 02/16/2023 | Sample Unique Key | 91 |
|---|---|---|---|
| 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 | 02/17/2023 |
| Sample type | Quality Control | A brief description of the sample | 1',3/8", WCS |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Alvaro | Last name of sampler or witnessed by | Pineda |
| Title of sampler | QC Field Technician | Telephone number of sampler | 6618894339 |
| Laboratory sample identification | Mix 85Q41S1P | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | CalPortland Hanford | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
| Structure name | Unknown |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | SMARA 91-54-0038 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Set 1 | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 85Q41S1P | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-02-16-91-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-02-16-91-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-02-16-91-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-02-16-91-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2023-02-16-91-5 CTM 227-December 2014 (Verified)