Sample Record

Owner Lab

  • Construction Testing Services

DIME Sample ID 2021-07-21-42

Project Information

Project IdentifiersProject ID: 214114
DEA: 040A5394
EFIS: 0418000244
DIST-CO-RTE-PM04-SOL-80,12-11.4/12.8, 2.1/2.8
Award DateNot set
Closeout DateNot set
Work DescriptionWiden EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc.
Location DescriptionI-80/I-680/Route 12 Interchange
QA Service Level1 (Verified on 04/23/2019)

Sample Information

Sample Taken Date07/21/2021 Sample Unique Key42
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 testing07/22/2021
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders (Set 3 of 4)
The quantity of what the sample constitutes325 CY From where was the sample collectedJob Site
First name of sampler or witnessed byCoby Last name of sampler or witnessed byHarris
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Cordelia Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1619340
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected29755645
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of Truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.