Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2022-02-03-42
Project Information
Project Identifiers | Project ID: 215236 DEA: 081C6804 EFIS: 0812000343 |
---|---|
DIST-CO-RTE-PM | 08-RIV-74,79and371-Varies |
Award Date | 12/29/2020 |
Closeout Date | Not set |
Work Description | REPLACE STRUCTURAL CONCRETE BRIDGE, RETAINING WALL AND BOX CULVERT. |
Location Description | RIVERSIDE COUNTY AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 03/02/2021) |
Sample Information
Sample Taken Date | 02/03/2022 | Sample Unique Key | 42 |
---|---|---|---|
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 | 02/03/2022 |
Sample type | Quality Control | A brief description of the sample | 1 inch mix |
The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Benitez |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cemex | 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 | 1610974 |
---|---|---|---|
The truck number from where the sample was collected | 10070455 | The batch plant ticket number from where the sample was collected | 30066631 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Arroyo Seco Location 3 | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2022-02-03-42-1 CTM 521-June 2020 (Verified)