Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-08-11-27

Project Information

Project IdentifiersProject ID: 212739
DEA: 081J4004
DIST-CO-RTE-PM08-SBD-40-149.3, 149.30
Award Date09/01/2017
Closeout Date06/23/2021
Work DescriptionRepair damaged pavement
Location DescriptionNot set
QA Service Level1 (Verified on 03/20/2018)

Sample Information

Sample Taken Date08/11/2026 Sample Unique Key27
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 testing08/11/2026
Sample typeAcceptance A brief description of the sampleJDGJ
The quantity of what the sample constitutesDGHJ From where was the sample collectedJob Site
First name of sampler or witnessed byDGJ Last name of sampler or witnessed byguzman
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameYJT 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 numberWTW
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedWGWG
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedWGW 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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Test File Attachments