Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-10-02-100
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994744 DEA: 072XG504 EFIS: 0723000149 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-66.3/67.3 |
| Award Date | 03/27/2023 |
| Closeout Date | 09/26/2025 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 05/04/2023) |
Sample Information
| Sample Taken Date | 10/02/2024 | Sample Unique Key | 100 |
|---|---|---|---|
| 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 | 10/02/2024 |
| Sample type | Acceptance | A brief description of the sample | SB 5 Lane #3 Sta 3509+30 to Sta 3513+06 |
| The quantity of what the sample constitutes | 20cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Caesar | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Transportation Engineer Civil | Telephone number of sampler | 8189748391 |
| Laboratory sample identification | 24-3075 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Short Load Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | CTS-30-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Job site | 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 | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||