Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2021-10-08-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215556 DEA: 081L6504 EFIS: 0820000131 |
|---|---|
| DIST-CO-RTE-PM | 08--,58- |
| Award Date | 06/18/2021 |
| Closeout Date | 04/08/2022 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 10/08/2021 | Sample Unique Key | 27 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 10/08/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 3 RSC beams |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Larry | Last name of sampler or witnessed by | Francisco |
| Title of sampler | TE | Telephone number of sampler | 951-830-9112 |
| Laboratory sample identification | 100821-Set4 | Linked DIME Sample ID | 2021-10-08-4 |
| The fabricator/manufacturer/facility name | Larry Francisco | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Rapid Set | Manufacturer | FEC |
|---|---|---|---|
| Mix no. | SM446BR2 | Materials Received | 10/8/2021 |
| Lot no. | 1 | Batch no. | 1 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||