Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2024-05-13-102
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993825 DEA: 040Q30U4 EFIS: 0420000235 COOP: 042830A3,042830A4 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA,CC-680-R11.0/R21.9,R0.0/R0.9 |
| Award Date | 11/23/2022 |
| Closeout Date | Not set |
| Work Description | PRECAST CONC PVMT, ELECTRONIC TOLL SYSTEM, JPCP, CB & STRUCTURAL CONC |
| Location Description | ALAMEDA AND CONTRA COSTA COUNTIES AT SUNOL AND IN SAN RAMON BETWEEN 0.4 MILE SOUTH OF CALAVERAS ROAD UNDERCROSSING TO 0.9 MILE NORTH OF ALCOSTA BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 05/13/2024 | Sample Unique Key | 102 |
|---|---|---|---|
| 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 | 05/14/2024 |
| Sample type | Quality Control | A brief description of the sample | 6X12 Concrete Cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dustin | Last name of sampler or witnessed by | Siebert |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Mix D20119EA, Set 1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Central Concrete Supply | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | D20119EA |
|---|---|---|---|
| The truck number from where the sample was collected | Load 2 Truck 2 | The batch plant ticket number from where the sample was collected | 0 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Set 1 |
| A detailed description of where the material sample was collected | Truck 2 at 18 yards | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | 1 | Bag Lot No. | 1 |
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 |
|---|---|---|---|
| No results found. | |||