Sample Record

DIME Sample ID 2018-10-02-1

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Owner Labs

  • CT D04 - Oakland (YBITS2) Field Laboratory
  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date10/02/2018 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeAnnual Source Testing
A brief description of the sampleapp The quantity of what the sample constitutesAnnual
From where was the sample collectedSource First name of sampler or witnessed byJacquelyn
Last name of sampler or witnessed byWong Title of sampler
Telephone number of sampler9167695234 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namevulcan
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)15-NEV-1
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedbelt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

Submitted Tests

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