Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2024-04-20-16
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Project Information
| Project Identifiers | Project ID: 994425 DEA: 040K5204 EFIS: 0416000098 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-12-11.0/T17.4 |
| Award Date | 03/21/2023 |
| Closeout Date | Not set |
| Work Description | Overlay with RHMA, replace guardrails, approach slabs and signs. |
| Location Description | Construction on State Highway in Sonoma County from Llano Road to Farmers Lane. |
| QA Service Level | 1 (Verified on 12/07/2022) |
Sample Information
| Sample Taken Date | 04/20/2024 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 04/21/2024 |
| Sample type | Quality Control | A brief description of the sample | 6X12 Concrete Cylinders |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brent | Last name of sampler or witnessed by | Van-Y |
| Title of sampler | QC Field Technician | Telephone number of sampler | |
| Laboratory sample identification | HE4X12BM, Set 1 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Vanguard Construction | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | 00-0000 |
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | HE4X12BM |
|---|---|---|---|
| The truck number from where the sample was collected | Load 7 | The batch plant ticket number from where the sample was collected | 0 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Set 1 |
| A detailed description of where the material sample was collected | Plant C, 292 total yd | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | 1 | Bag Lot No. | 1 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-04-20-16-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-04-20-16-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-04-20-16-3 CTM 557-June 2020 (Verified)
DIME Test ID: 2024-04-20-16-4 CTM 504-June 2010 (Verified)