Sample Record
Owner Lab
- Sequoia Consultants
DIME Sample ID 2023-12-15-75
Project Information
Project Identifiers | Project ID: 993671 DEA: 07357704 EFIS: 0719000097 COOP: 075245 |
---|---|
DIST-CO-RTE-PM | 07-LA-I-210- |
Award Date | 02/14/2023 |
Closeout Date | Not set |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 2 (Verified on 04/04/2022) |
Sample Information
Sample Taken Date | 12/15/2023 | Sample Unique Key | 75 |
---|---|---|---|
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 | 12/16/2023 |
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 | William | Last name of sampler or witnessed by | Spigner |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | National Ready Mix | 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 | S85E645T1 |
---|---|---|---|
The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 349174 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | SW 1658, CIDH Pile 114 | 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: 2023-12-15-75-1 CTM 521-June 2020 (Verified)