Sample Record
Owner Lab
- Grimes Rock
DIME Sample ID 2023-05-22-52
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214336 DEA: 07302404 EFIS: 0713000488 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-37/40 |
| Award Date | 11/17/2020 |
| Closeout Date | 09/24/2024 |
| Work Description | PADRE JUAN REHAB |
| Location Description | VEN 101 |
| QA Service Level | 1 (Verified on 02/26/2021) |
Sample Information
| Sample Taken Date | 05/22/2023 | Sample Unique Key | 52 |
|---|---|---|---|
| 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 | 05/22/2023 |
| Sample type | Aggregate Prequalification Program | A brief description of the sample | sand/pea-gravel/one inch minus |
| The quantity of what the sample constitutes | Three 50 pound samples | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Majid | Last name of sampler or witnessed by | Faheem |
| Title of sampler | Telephone number of sampler | 5624498001 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Grimes Rock Inc. | 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) | 91-56-0032 |
|---|---|---|---|
| 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 | grimes rock | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Test File Attachments
DIME Test ID: 2023-05-22-52-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-05-22-52-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-05-22-52-3 CTM 214-August 2010 (Verified)
DIME Test ID: 2023-05-22-52-4 CTM 213-December 2012 (Verified)
DIME Test ID: 2023-05-22-52-5 CTM 229-June 2011 (Verified)
DIME Test ID: 2023-05-22-52-6 CTM 217-June 2011 (Verified)