Sample Record

DIME Sample ID 2020-10-24-12

Project Information

Project IdentifiersProject ID: 213746
DEA: 080Q75U4
EFIS: 0817000114
DIST-CO-RTE-PM08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2
Award Date04/18/2019
Closeout Date06/28/2022
Work DescriptionREPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS
Location DescriptionNot set
QA Service Level1 (Verified on 06/17/2019)

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

Sample Information

Sample Taken Date10/24/2020 Sample Unique Key12
Date that the sample was received by the laboratory/organization performing the testing10/25/2020 Sample typeQuality Assurance
A brief description of the samplePCC Aggregate The quantity of what the sample constitutes 3 Bags
From where was the sample collectedManufacturer First name of sampler or witnessed byIdris
Last name of sampler or witnessed byNajjar Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameRV Concrete onsite plant
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-33-0027::CORONA QUARRY
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 collectedConveyor Belt
Where the material sample would have been placed if not sampledConcrete Paving Primary Aggregate Nominal Size1 inch
The concrete mix design numberRVC 60-1 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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