Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2026-09-15-11
Project Information
| Project Identifiers | Project ID: 44444 DEA: ASCP EFIS: ASCP |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for Asphalt Supplier Certification Program. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 09/15/2026 | Sample Unique Key | 11 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | Not set | Sample type | Quality Control |
| A brief description of the sample | abc | The quantity of what the sample constitutes | 123 |
| From where was the sample collected | Source | First name of sampler or witnessed by | abcdef |
| Last name of sampler or witnessed by | abcdf | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | dfre | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 123456 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 123456 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Fairfield | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
