Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2022-11-09-34

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Sample Information

Sample Taken Date11/09/2022 Sample Unique Key34
Date that the sample was received by the laboratory/organization performing the testing11/10/2022 Sample typeQuality Assurance
A brief description of the samplePortland Cement Concrete The quantity of what the sample constitutes70 CY
From where was the sample collectedJob Site First name of sampler or witnessed byMichele
Last name of sampler or witnessed byStover Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameMercer Fraser - Fortuna
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier12-5500 Structure nameFortuna Materials Lab
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberMF CL 2 SLAG
The truck number from where the sample was collected0693 The batch plant ticket number from where the sample was collected28035
Concrete batch plantMercer Fraser Fortuna The fabricator/manufacturer designation for the sampleMF CL 2 SLAG
A detailed description of where the material sample was collectedready mix trk Where the material sample would have been placed if not sampledfootings
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments