Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2023-08-04-111
Project Information
Project Identifiers | Project ID: 994405 DEA: 080F5414 EFIS: 0800000137 COOP: 081743 |
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DIST-CO-RTE-PM | 08-RIV-- |
Award Date | 10/12/2022 |
Closeout Date | Not set |
Work Description | RIV 71/91 FLYOVER |
Location Description | Not set |
QA Service Level | 2 (Verified on 11/07/2022) |
Sample Information
Sample Taken Date | 08/04/2023 | Sample Unique Key | 111 |
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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 | 08/05/2023 |
Sample type | Quality Control | A brief description of the sample | Structural Concrete |
The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Justin | Last name of sampler or witnessed by | Gonzalez |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Robertsons Corona | 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 | 5264125A |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 5264125A | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Bent 3 Column | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |