Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2021-11-09-58
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215257 DEA: 11056374 EFIS: 1117000087 |
---|---|
DIST-CO-RTE-PM | 11-SD-11-0.6/2.7 |
Award Date | 02/16/2021 |
Closeout Date | Not set |
Work Description | CONSTRUCT INTERCHANGE, PLACE JPCP, HMA, AND INSTALL LIGHTING. |
Location Description | SAN DIEGO COUNTY NEAR SAN DIEGO FROM 0.2 MILE WEST OF SANYO AVENUE UNDERCROSSING TO 1.2 MILE EAST OF ENRICO FERMI DRIVE OVERCROSSING |
QA Service Level | 1 (Verified on 11/25/2020) |
Sample Information
Sample Taken Date | 11/09/2021 | Sample Unique Key | 58 |
---|---|---|---|
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 | 11/09/2021 |
Sample type | Quality Control | A brief description of the sample | Siempre Viva - Bridge Stem and Soffit |
The quantity of what the sample constitutes | 100 cy | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Chistopher | Last name of sampler or witnessed by | Acevedo |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Robertsons Otay Plant | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | RRM 21063 |
---|---|---|---|
The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 6590401 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | truck chute | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2021-11-09-58-1 CTM 521-June 2020 (Verified)