Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2023-10-31-108

Project Information

Project IdentifiersProject ID: 994191
DEA: 081G8304
EFIS: 0816000079
DIST-CO-RTE-PM08-SBD-40-R100.8/R101.8
Award Date02/07/2023
Closeout Date08/29/2025
Work DescriptionHMA, STRUCTURAL CONC, BAR REINFORCING STEEL, CRSP & IMPORTED BORROW.
Location DescriptionSAN BERNARDINO COUNTY AT ESSEX FROM 1.1 MILES EAST OF ESSEX ROAD OVERCROSSING TO 0.5 MILE EAST OF HALFWAY HILLS WASH BRIDGE
QA Service Level1 (Verified on 03/30/2023)

Sample Information

Sample Taken Date10/31/2023 Sample Unique Key108
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 testing10/31/2023
Sample typeQuality Control A brief description of the sample1x4 concrete aggregates
The quantity of what the sample constitutes1 per batch From where was the sample collectedSupplier
First name of sampler or witnessed byRobert Last name of sampler or witnessed byCota
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex - Bullhead City Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)00-00-0000
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedstockpile or belt cut
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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