Sample Record
Owner Lab
- CT D11 - District 11 Materials Laboratory
DIME Sample ID 2024-10-28-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993529 DEA: 11430514 EFIS: 1119000008 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-15-R31.3/R37.1 |
| Award Date | 05/27/2022 |
| Closeout Date | Not set |
| Work Description | CRCP, FIBER OPTIC CABLE, AND HMA. |
| Location Description | SAN DIEGO COUNTY IN AND NEAR ESCONDIDO FROM 0.2 MILE SOUTH OF ROUTE 15/78 SEPARATION TO 0.5 MILE NORTH OF DEER SPRINGS ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 02/07/2022) |
Sample Information
| Sample Taken Date | 10/28/2024 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 10/28/2024 |
| Sample type | Quality Assurance | A brief description of the sample | concrete aggregates |
| The quantity of what the sample constitutes | 1 day of production | From where was the sample collected | Source |
| First name of sampler or witnessed by | Derrick | Last name of sampler or witnessed by | McCovy |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 24-6673-S | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex Escondido | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | N/A |
|---|---|---|---|
| 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 collected | Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||