Sample Record

DIME Sample ID 2021-07-16-4

Project Information

Project IdentifiersProject ID: 77777
DEA: CHEM-STOCK
EFIS: CHEM-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date07/16/2021 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing07/16/2021 Sample typeQuality Control
A brief description of the sampleConcrete Test Samples The quantity of what the sample constitutes2
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 nameuniversal precast
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 number56789
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected5678743534
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of Truck 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