Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-02-16-30
Project Information
Project Identifiers | Project ID: 215425 DEA: 06360244 EFIS: 0613000005 |
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DIST-CO-RTE-PM | 06-TUL-99-30.6/35.2 |
Award Date | 04/23/2021 |
Closeout Date | Not set |
Work Description | Widen Freeway & Bridge Construction (Concrete Bridge) |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
Sample Taken Date | 02/16/2023 | Sample Unique Key | 30 |
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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 | 02/17/2023 |
Sample type | Quality Assurance | A brief description of the sample | structural concrete |
The quantity of what the sample constitutes | 300 cy | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Christian | Last name of sampler or witnessed by | Suarez |
Title of sampler | Inspector | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 46-0279 | |
Structure name | Abut 1 center |
Material Information
Material Type | Concrete | The concrete mix design number | 85Q41SIP |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 119502 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Dischard fron concrete truck into wheelbarrow. | Where the material sample would have been placed if not sampled | Stem and Soffit Abut 1 center |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-02-16-30-1 ASTM C39-18 (Verified)
DIME Test ID: 2023-02-16-30-2 ASTM C39-18 (Verified)