Sample Record
Owner Lab
- Surecast West
DIME Sample ID 2023-11-06-60
Sample Details QR Code
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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 | 11/06/2023 | 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 | 11/21/2023 |
| Sample type | Quality Control | A brief description of the sample | TYPE II/V |
| The quantity of what the sample constitutes | 10.50 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JOEY | Last name of sampler or witnessed by | BUCKLER |
| Title of sampler | Telephone number of sampler | ||
| 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 | The batch plant ticket number from where the sample was collected | 31003038 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | concrete sample from wheelb barrow | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-11-06-60-1 CTM 521-June 2020 (Verified)