Sample Record
Owner Lab
- Surecast West
DIME Sample ID 2023-11-15-4
Project Information
Project Identifiers | Project ID: 210409 DEA: 08432724 EFIS: 0800020178 |
---|---|
DIST-CO-RTE-PM | 08-RIV-8-RIV-15-6.4/9.7 |
Award Date | 05/01/2023 |
Closeout Date | Not set |
Work Description | Collector/distributor system, new on-ramps, bridges, RW, sound walls, drainage, signal and lighting, signage, freeway widening |
Location Description | I-15 from Winchester Road to I-215 Junction in Temecula |
QA Service Level | 2 (Verified on 06/24/2021) |
Sample Information
Sample Taken Date | 11/15/2023 | Sample Unique Key | 4 |
---|---|---|---|
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 | 11/15/2023 |
Sample type | Quality Control | A brief description of the sample | TYPE II/V |
The quantity of what the sample constitutes | 10.00 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | CODY | Last name of sampler or witnessed by | COPPINS |
Title of sampler | QC TECHNICIAN | Telephone number of sampler | 9514919506 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CEMEX-REDLANDS | 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 | LOAD 10309735 | The batch plant ticket number from where the sample was collected | 30973537 |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | SAMPLE FROM WHEELBARROW | 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. |