Sample Record

DIME Sample ID 2017-10-20-9

Project Information

Project IdentifiersProject ID: 211162
DEA: 044G4504
EFIS: 0412000477
DIST-CO-RTE-PM04-SOL-780-7.07
Award Date02/01/2017
Closeout Date11/15/2019
Work DescriptionREPLACE BRIDGE TO PROVIDE STANDARD VERTICAL CLEARANCE
Location DescriptionLAUREL STREET OC
QA Service Level1 (Verified on 05/20/2016)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date10/20/2017 Sample Unique Key9
Date that the sample was received by the laboratory/organization performing the testing10/20/2017 Sample typeInformational
A brief description of the sampleRSC Bridge Deck Cylinders The quantity of what the sample constitutes2
From where was the sample collectedJob Site First name of sampler or witnessed byMohammad
Last name of sampler or witnessed byNasim Title of samplerUnknown
Telephone number of samplerUnknown Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility namePrecision Concrete
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierUnknown Structure nameUnknown
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number7337 Rapid Set TH
The truck number from where the sample was collectedUNK The batch plant ticket number from where the sample was collectedUNK
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedVolumetric Mixer Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

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