Sample Record

DIME Sample ID 2021-07-20-36

Project Information

Project IdentifiersProject ID: 9999
DEA: 00000000
EFIS: 0000000000
COOP: 99999333399
MINOR: 333333
Permit Numbers: 555555 0400NRT0000
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level1 (Verified on 04/05/2013)

Owner Labs

  • G3 Quality, Incorporated - Cerritos
  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date07/20/2021 Sample Unique Key36
Date that the sample was received by the laboratory/organization performing the testing07/21/2021 Sample typeQuality Control
A brief description of the sampleconcrete, aggregate The quantity of what the sample constitutes100 cy
From where was the sample collectedFabricator First name of sampler or witnessed byArmando
Last name of sampler or witnessed byContreras Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameTest
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberMix Design Test
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected2345
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedback of truck, stockpile 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 TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments