Sample Record
Owner Lab
- RMA Group - Rancho Cordova
DIME Sample ID 2023-05-11-95
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994244 DEA: 051F6204 EFIS: 0514000039 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-152-1.9 |
| Award Date | 11/29/2022 |
| Closeout Date | 02/14/2024 |
| Work Description | WIDEN BRIDGE, CONCRETE BARRIER, AND MODIFY ELECTRICAL SYSTEM. |
| Location Description | SANTA CRUZ COUNTY NEAR WATSONVILLE AT CORRALITOS CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/19/2022) |
Sample Information
| Sample Taken Date | 05/11/2023 | Sample Unique Key | 95 |
|---|---|---|---|
| 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 | 05/11/2023 |
| Sample type | Quality Control | A brief description of the sample | concrete |
| The quantity of what the sample constitutes | 100 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Gregory | Last name of sampler or witnessed by | Carr |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Grainterock | 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 | 577750E6 |
|---|---|---|---|
| The truck number from where the sample was collected | 2425 | The batch plant ticket number from where the sample was collected | 420958 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | concrete truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||