Sample Record

DIME Sample ID 2021-02-09-34

Project Information

Project IdentifiersProject ID: 215014
DEA: 101C9404
EFIS: 1016000020
DIST-CO-RTE-PM10-SJ-5-26.4/27.0
Award Date11/03/2020
Closeout Date03/03/2022
Work DescriptionBRIDGE REHABILITATION
Location DescriptionON STATE HIGHWAY IN SAN JOAQUIN COUNTY IN STOCKTON FROM 0.3 MILE NORTH OF ROUTE 5/4 SEPARATION TO PERSHING AVENUE
QA Service Level1 (Verified on 06/03/2020)

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

Sample Information

Sample Taken Date02/09/2021 Sample Unique Key34
Date that the sample was received by the laboratory/organization performing the testing02/23/2021 Sample typePer Request
A brief description of the sampleRapid Set DOT cube The quantity of what the sample constitutes1-2x2 DOT cube
From where was the sample collectedSupplier First name of sampler or witnessed byRon
Last name of sampler or witnessed byMatin Title of samplerSR
Telephone number of sampler Laboratory sample identification21-0026
Linked DIME Sample ID The fabricator/manufacturer/facility nameNot Provided
Transportation Laboratory (TL) NumberC0001 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 numberna
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedna
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedna 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