Sample Record
Owner Lab
- CT D11 - District 11 Materials Laboratory
DIME Sample ID 2022-04-24-2
Project Information
| Project Identifiers | Project ID: 215370 DEA: 11427504 EFIS: 1116000177 |
|---|---|
| DIST-CO-RTE-PM | 11-SD,IMP-5,7,111,186,188etc-VAR |
| Award Date | 03/11/2021 |
| Closeout Date | 12/01/2023 |
| Work Description | INSTALL FIBER OPTIC CABLE AND POINT VEHICLE DETECTION FIELD ELEMENTS. |
| Location Description | SAN DIEGO AND IMPERIAL COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 02/08/2021) |
Sample Information
| Sample Taken Date | 04/24/2022 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 04/25/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" JMF Renewal |
| The quantity of what the sample constitutes | 12 boxes, 2 bags, 4 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | MARCO | Last name of sampler or witnessed by | ESTUDILLO |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vulcan Otay | Transportation Laboratory (TL) Number | |
| 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) | 91-37-0035 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
