Sample Record

Owner Lab

  • Myers and Sons Construction

DIME Sample ID 2024-02-22-17

Project Information

Project IdentifiersProject ID: 993856
DEA: 042J7304
EFIS: 0415000004
DIST-CO-RTE-PM04-SM-101-6.7/7.6
Award Date03/20/2023
Closeout DateNot set
Work DescriptionSM 101 Cordilleras Crk Br Replacement
Location DescriptionNot set
QA Service Level1 (Verified on 06/27/2022)

Sample Information

Sample Taken Date02/22/2024 Sample Unique Key17
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 testing02/23/2024
Sample typeQuality Control A brief description of the sampleDOT CLASS 1 - 5000 psi@28 days - 1" Agg., .40 w/c ratio, 4" slump
The quantity of what the sample constitutes40CY From where was the sample collectedJob Site
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byPrado
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCentral Concrete Supply Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure namePulgas Creek Bridge Barrier Wall

Material Information

Material TypeConcrete The concrete mix design numberD101C51
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected05475352
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of truck discharge chute 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
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
Pulgas_Creek_02-22-2024_(Concrete)pdf02/28/2024   Info

Test File Attachments