Sample Record

Owner Labs

  • CT HQ - QASI Los Angeles Field Office
  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2025-08-20-7

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Sample Information

Sample Taken Date08/20/2025 Sample Unique Key7
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing09/09/2025
Sample typeQuality Control A brief description of the sample4 x 8 concrete cylinders
The quantity of what the sample constitutes5 From where was the sample collectedFabricator
First name of sampler or witnessed byAdriana Last name of sampler or witnessed byOrtiz Fiallo
Title of sampler Telephone number of sampler3238053068
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameOLD CASTLE PRECAST 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 number11111111
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected123456
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedwheelbarrow 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