Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2020-09-10-26

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date09/10/2020 Sample Unique Key26
Date that the sample was received by the laboratory/organization performing the testing11/05/2020 Sample typeQuality Control
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes12
From where was the sample collectedFabricator First name of sampler or witnessed byAdriana
Last name of sampler or witnessed byOrtiz Title of sampler
Telephone number of sampler3238053068 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameProcast
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 number9999999999
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected999999
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconcrete truck 160 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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Sample File Attachments

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Test File Attachments