Sample Record

DIME Sample ID 2023-04-20-49

Project Information

Project IdentifiersProject ID: 212498
DEA: 021H5204
EFIS: 0217000009
DIST-CO-RTE-PM02-SIS-3,263-48.5/49.7 - 49.41
Award Date08/04/2022
Closeout Date09/30/2025
Work DescriptionRoadway Rehabilitation
Location Description02-Sis-3, 263-R46.8/R48.0, 49.07/49.41
QA Service Level1 (Verified on 06/06/2017)

Owner Lab

  • CT D02 - Yreka Field Laboratory

Sample Information

Sample Taken Date04/20/2023 Sample Unique Key49
Date that the sample was received by the laboratory/organization performing the testing04/20/2023 Sample typeDepartment Acceptance
A brief description of the sampleMINOR CONC SW The quantity of what the sample constitutes60 cy
From where was the sample collectedJob Site First name of sampler or witnessed byDanny
Last name of sampler or witnessed byhansen Title of samplerMaterials Tester
Telephone number of sampler Laboratory sample identification001
Linked DIME Sample ID The fabricator/manufacturer/facility nameMountain Ready Mix
Transportation Laboratory (TL) Number166674 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number505s
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedxxx
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of Truck Where the material sample would have been placed if not sampledsta 240 to 300
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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