Sample Record

DIME Sample ID 2018-01-17-5

Project Information

Project IdentifiersProject ID: 212351
DEA: 040P1304
DIST-CO-RTE-PM04-MRN-1-11.5, 11.50, 11.5, 12
Award Date06/09/2017
Closeout Date09/24/2018
Work DescriptionConstruct Soldier Pile Wall with Tiebacks
Location DescriptionRoute 1 PM 11.5
QA Service Level1 (Verified on 07/24/2017)

Owner Lab

  • CT SC - 3676 - 106

Sample Information

Sample Taken Date01/17/2018 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing01/04/2018 Sample typeDepartment Acceptance
A brief description of the sample6 X 12 Concrete Cylinder The quantity of what the sample constitutes36 CY
From where was the sample collectedJob Site First name of sampler or witnessed byNana
Last name of sampler or witnessed byBudu Title of samplerAssistant Structure Representative
Telephone number of sampler7078122676 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameShamrock Materials
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifierUpper Waler Structure nameRetaining Wall 1
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number3172GG
The truck number from where the sample was collected1951 The batch plant ticket number from where the sample was collected458838
Concrete batch plantShamrock San Rafael The fabricator/manufacturer designation for the sampleShamrock Materials
A detailed description of where the material sample was collectedBack of Truck Where the material sample would have been placed if not sampledConcrete Waler
From Lot No. Bag Lot No.

Submitted Tests

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