Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2023-09-19-60
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Project Information
| Project Identifiers | Project ID: 994325 DEA: 044J4904 EFIS: 0415000356 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-13-6.7/7.2 |
| Award Date | 01/09/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT CONCRETE BARRIERS AND BARRIER SLAB, COLD PLANE AND OVERLAY. |
| Location Description | ALAMEDA COUNTY IN OAKLAND FROM 0.2 MILE NORTH OF LINCOLN AVENUE OVERCROSSING TO 0.2 MILE SOUTH OF PARK BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 10/14/2022) |
Sample Information
| Sample Taken Date | 09/19/2023 | Sample Unique Key | 60 |
|---|---|---|---|
| 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 | 09/21/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 6 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dustin | Last name of sampler or witnessed by | Seibert |
| Title of sampler | Quality Control Technician | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ecoterra Ready Mix | 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 | 7SK5K1X425F |
|---|---|---|---|
| The truck number from where the sample was collected | 2 | The batch plant ticket number from where the sample was collected | na |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete sample from wheelbarrow | 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: 2023-09-19-60-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-09-19-60-2 CTM 521-June 2020 (Verified)