Sample Record

DIME Sample ID 2026-03-03-11

Project Information

Project IdentifiersProject ID: 993223
DEA: 11TEST04
EFIS: 11TEST3101
DIST-CO-RTE-PM11---
Award Date10/01/2021
Closeout DateNot set
Work DescriptionTHIS PROJECT WAS ADDED FOR E3101 DEVELOPMENT AND TESTING PURPOSES. DATA SUBMITTED FOR THIS PROJECT MUST NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT WAS ADDED FOR E3101 DEVELOPMENT AND TESTING PURPOSES. DATA SUBMITTED FOR THIS PROJECT MUST NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level1 (Verified on 10/22/2021)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date03/03/2026 Sample Unique Key11
Date that the sample was received by the laboratory/organization performing the testing03/03/2026 Sample typeQuality Control
A brief description of the sample4x8 concrete cylinders The quantity of what the sample constitutes100 cy
From where was the sample collectedFabricator First name of sampler or witnessed byJohn
Last name of sampler or witnessed byDoe Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameThompson pipe group
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 numberCT2000PH
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 collectedConcrete Sample from Wheelbarrow 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