Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2021-12-21-17
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Project Information
| Project Identifiers | Project ID: 215050 DEA: 080R1424 EFIS: 0815000201 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R125.0/R154.6 |
| Award Date | 08/26/2020 |
| Closeout Date | 11/01/2022 |
| Work Description | ROADWAY EXCAVATION, IMPORT BORROW AND REGRADE THE MEDIAN SLOPE. |
| Location Description | SAN BERNARDINO COUNTY FROM 4.5 MILES EAST OF HOMER WASH BRIDGE TO ARIZONA STATE LINE |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 12/21/2021 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 01/18/2021 |
| Sample type | Quality Control | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Erik | Last name of sampler or witnessed by | Jimenez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex Bullhead City | 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 | 1619144 |
|---|---|---|---|
| The truck number from where the sample was collected | 100398000 | The batch plant ticket number from where the sample was collected | 46739097 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | DS 35 Wing Wall Footing | 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: 2021-12-21-17-1 ASTM C39-18 (Verified)