Sample Record
Owner Labs
- CT HQ - Vallejo Field Laboratory
- Quality Assurance Engineering, Inc dba Consolidated Engineering Laboratories
DIME Sample ID 2025-04-11-43
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001037 DEA: 043X0804 EFIS: 0425000188 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-7.21 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/04/2025) |
Sample Information
| Sample Taken Date | 04/11/2025 | Sample Unique Key | 43 |
|---|---|---|---|
| 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 | 05/06/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Structural Concrete |
| The quantity of what the sample constitutes | TBD | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Harry | Last name of sampler or witnessed by | Suryantaro |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | PCDC | 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 | DDJE12E3 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TBD | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | chute | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 2025-04-11-43- Test Results | 05/19/2025 | Info |
Test File Attachments
DIME Test ID: 2025-04-11-43-1 ASTM C39-17a (Verified)