Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-11-01-1

Project Information

Project IdentifiersProject ID: 1001790
DEA: 081T1404
EFIS: 0826000012
DIST-CO-RTE-PM08-RIV-10-
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 07/24/2025)

Sample Information

Sample Taken Date11/01/2025 Sample Unique Key1
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 testing11/03/2025
Sample typeQuality Assurance A brief description of the sampleCONCRETE CYLINDERS
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byDYLAN Last name of sampler or witnessed byNAULT
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameROBERTSONS Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberNOT PROVIDED
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1284669
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSR38 WASHOUT PM 23.75 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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Sample File Attachments

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Test File Attachments