Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-01-13-7
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Project Information
| Project Identifiers | Project ID: 215042 DEA: 100TST04 EFIS: 1020999999 |
|---|---|
| DIST-CO-RTE-PM | 10-STA-5-26.1/27.0 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | This is just a test EA, not tied to an actual project at all. Don't believe anything you read. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/29/2020) |
Sample Information
| Sample Taken Date | 01/13/2022 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 01/13/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 100 cy | From where was the sample collected | Other |
| First name of sampler or witnessed by | Avo | Last name of sampler or witnessed by | Karajian |
| Title of sampler | TET | Telephone number of sampler | 213-798-6076 |
| Laboratory sample identification | 111111 | Linked DIME Sample ID | 2022-01-13-1 |
| The fabricator/manufacturer/facility name | SECURITY PAVING - LA MIRADA | Transportation Laboratory (TL) Number | 12345 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-03-0011 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | 123 | A detailed description of where the material sample was collected | Conveyor Belt |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | G3-15-STR-006F | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-01-13-7-1 CTM 202-November 2011 (Verified)