Sample Record
DIME Sample ID 2025-04-18-59
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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 | 02/20/2025 |
| Closeout Date | 06/18/2026 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/04/2025) |
Owner Lab
- CT HQ - Vallejo Field Laboratory
Sample Information
| Sample Taken Date | 04/18/2025 | Sample Unique Key | 59 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 05/27/2025 | 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
Test File Attachments
DIME Test ID: 2025-04-18-59-1 ASTM C39-17a (Verified)