Sample Record
DIME Sample ID 2023-09-21-107
Project Information
| Project Identifiers | Project ID: 994405 DEA: 080F5414 EFIS: 0800000137 COOP: 081743 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-- |
| Award Date | 10/12/2022 |
| Closeout Date | Not set |
| Work Description | RIV 71/91 FLYOVER |
| Location Description | Not set |
| QA Service Level | 2 (Verified on 11/07/2022) |
Owner Lab
- Surecast West
Sample Information
| Sample Taken Date | 09/21/2023 | Sample Unique Key | 107 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 11/14/2023 | Sample type | Quality Control |
| A brief description of the sample | type II/V Cement | The quantity of what the sample constitutes | 9 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | cody |
| Last name of sampler or witnessed by | coppins | Title of sampler | qc technician |
| Telephone number of sampler | 9514919506 | Laboratory sample identification | 30935694 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Cemex Redlands | |
| 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 | 1610974 |
|---|---|---|---|
| The truck number from where the sample was collected | LOAD 1 | The batch plant ticket number from where the sample was collected | 30935694 |
| Concrete batch plant | Redlands | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | concrete sample from whheelbarrow | Where the material sample would have been placed if not sampled | mse wall 420 |
| 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: 2023-09-21-107-1 CTM 521-June 2020
DIME Test ID: 2023-09-21-107-2 CTM 521-June 2020 (Verified)
