Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2025-10-03-7

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 Date10/03/2025 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the samplePrecast Conventional The quantity of what the sample constitutes10 CY
From where was the sample collectedFabricator First name of sampler or witnessed byMohammad Rafi
Last name of sampler or witnessed byLast Title of samplerQC Inspector
Telephone number of sampler Laboratory sample identificationCon-Fab Lathrop
Linked DIME Sample ID The fabricator/manufacturer/facility nameCon-Fab Lathrop
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 number15-STR-006F
The truck number from where the sample was collectedLoad 3 of 5 The batch plant ticket number from where the sample was collected123
Concrete batch plantConFab Lathrop The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconcrete sample from wheelbarrow Where the material sample would have been placed if not sampledI-Girder
From Lot No. Bag Lot No.

Submitted Tests

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