Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-05-01-4

Project Information

Project IdentifiersProject ID: 1000683
DEA: 11056404
EFIS: 1124000359
DIST-CO-RTE-PM11-SD-11-0.6/2.7
Award Date12/20/2024
Closeout DateNot set
Work DescriptionPERFORM GRADING, CONSTRUCT DRAINAGE FACILITIES, SIGNS AND STRIPING.
Location DescriptionSAN DIEGO COUNTY NEAR SAN DIEGO FROM 0.2 MILE WEST OF SANYO AVENUE UNDERCROSSING TO 0.2 MILE EAST OF SIEMPRE VIVA ROAD OVERCROSSING
QA Service Level1 (Verified on 01/17/2025)

Sample Information

Sample Taken Date05/01/2025 Sample Unique Key4
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 testing05/01/2025
Sample typeQuality Control A brief description of the samplepc
The quantity of what the sample constitutes5 From where was the sample collectedSource
First name of sampler or witnessed byadrianna Last name of sampler or witnessed byortiz
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameconfab Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypePrecast Concrete The concrete mix design number1234
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1234
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconfab 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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Test File Attachments