Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-02-26-3
Sample Details QR Code
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Project Information
| Project Identifiers | DEA: No Project |
|---|---|
| DIST-CO-RTE-PM | --- |
| Award Date | Not set |
| Closeout Date | 11/01/2022 |
| Work Description | Special project identifier for material not associated with a project |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 02/26/2025 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 02/26/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Foundation |
| The quantity of what the sample constitutes | 50 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | First | Last name of sampler or witnessed by | Last |
| Title of sampler | Engineer | Telephone number of sampler | 0000000000 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Robertson Ready Mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 00-1234 | |
| Structure name | the bridge | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | b1234 |
|---|---|---|---|
| The truck number from where the sample was collected | 2 | The batch plant ticket number from where the sample was collected | 13582 |
| Concrete batch plant | Ontario | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Foundation location near bent x | Where the material sample would have been placed if not sampled | in the foundation |
| 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. | |||