Sample Record
DIME Sample ID 2024-02-28-33
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Project Information
| Project Identifiers | Project ID: 993856 DEA: 042J7304 EFIS: 0415000004 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-6.7/7.6 |
| Award Date | 03/20/2023 |
| Closeout Date | Not set |
| Work Description | SM 101 Cordilleras Crk Br Replacement |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/27/2022) |
Owner Lab
- Myers and Sons Construction
Sample Information
| Sample Taken Date | 02/28/2024 | Sample Unique Key | 33 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/29/2024 | Sample type | Quality Control |
| A brief description of the sample | DOT CLASS 1 - 5000 psi@28 days - 1" Agg., .40 w/c ratio, 4" slump | The quantity of what the sample constitutes | 9 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Anselmo |
| Last name of sampler or witnessed by | Rodriguez | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Central Concrete Supply | |
| 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 | D101C5E1 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge chute from back of truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| Pulgas_Creek_02-28-2024_(Concrete) | 03/13/2024 | Info |