Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2023-10-06-56
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 993141 DEA: 060V1204 EFIS: 0616000207 |
|---|---|
| DIST-CO-RTE-PM | 06-MAD-99-R6.9/R7.6 |
| Award Date | 06/22/2022 |
| Closeout Date | 12/02/2025 |
| Work Description | Cottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS. |
| Location Description | MADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING |
| QA Service Level | 1 (Verified on 07/28/2021) |
Sample Information
| Sample Taken Date | 10/06/2023 | Sample Unique Key | 56 |
|---|---|---|---|
| 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 | 10/07/2023 |
| Sample type | Quality Assurance | 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 | Job Site |
| First name of sampler or witnessed by | Rafael | Last name of sampler or witnessed by | Duenas |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Mix D20119EA | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Central Concrete -Pleasanton | 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 | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-10-0010 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | Set 1 | |
| The plant number | A detailed description of where the material sample was collected | Belt cut | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | D20119EA | Lot number | 1 |
| Sublot number | 1 | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-10-06-56-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-10-06-56-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-10-06-56-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-10-06-56-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2023-10-06-56-5 CTM 227-December 2014 (Verified)
