Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2023-06-15-67
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Project Information
| Project Identifiers | Project ID: 214663 DEA: 081F7304 EFIS: 0815000034 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-215-2.7 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA. |
| Location Description | SAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 02/24/2021) |
Sample Information
| Sample Taken Date | 06/15/2023 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 | 06/16/2023 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ruben | Last name of sampler or witnessed by | Lopez |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Set 2 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Job site | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 1610974 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 0 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | Set 2 | |
| A detailed description of where the material sample was collected | Unknown | 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: 2023-06-15-67-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-06-15-67-2 CTM 521-June 2020 (Verified)