Sample Record

DIME Sample ID 2021-01-20-1

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 Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

Sample Information

Sample Taken Date01/20/2021 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing02/02/2021 Sample typeQuality Control
A brief description of the sampleJMF Test The quantity of what the sample constitutes1
From where was the sample collectedOther First name of sampler or witnessed bySeree
Last name of sampler or witnessed byYenjai Title of samplerNot set
Telephone number of samplerNot set Laboratory sample identificationNot set
Linked DIME Sample IDNot set The fabricator/manufacturer/facility nameOther
Transportation Laboratory (TL) NumberNot set 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)test
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedsomewhere
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2021-7-MD6742 Date Created01/20/2021
SubmittalN/A

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