Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2025-04-30-47
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995106 DEA: 072XA604 EFIS: 0723000080 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-2-65.2/66.4, 65.2/66.40000000000001 |
| Award Date | 12/16/2022 |
| Closeout Date | 09/25/2025 |
| Work Description | Repair/reconstruct side slope at the erosion gullies, earthen berms along the shoulder, reconstruct existing MGS, place erosion control on the reconstructed side slopes |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 08/30/2023) |
Sample Information
| Sample Taken Date | 04/30/2025 | Sample Unique Key | 47 |
|---|---|---|---|
| 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 | 05/02/2025 |
| Sample type | Acceptance | A brief description of the sample | 6X12 PCC cylinders |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Scott | Last name of sampler or witnessed by | Bauer |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 25-104 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons | Transportation Laboratory (TL) Number | 07-2XA604 |
| 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 | RRM13017 |
|---|---|---|---|
| The truck number from where the sample was collected | 2 | The batch plant ticket number from where the sample was collected | 1264785 |
| Concrete batch plant | Robertsons | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | truck 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-04-30-47-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-04-30-47-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-04-30-47-3 CTM 521-June 2020 (Verified)