Sample Record

Owner Lab

  • Sequoia Consultants

DIME Sample ID 2023-12-15-63

Project Information

Project IdentifiersProject ID: 994405
DEA: 080F5414
EFIS: 0800000137
COOP: 081743
DIST-CO-RTE-PM08-RIV--
Award Date10/12/2022
Closeout DateNot set
Work DescriptionRIV 71/91 FLYOVER
Location DescriptionNot set
QA Service Level2 (Verified on 11/07/2022)

Sample Information

Sample Taken Date12/15/2023 Sample Unique Key63
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 testing12/16/2023
Sample typeQuality Control A brief description of the samplestructural concrete
The quantity of what the sample constitutes2 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byAlan Last name of sampler or witnessed byWhitcomb
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertson's R/M, Corona Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberRRM23043
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected8034757
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedE91/N71 Connector, Bent 10, Load 4 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments