Sample Record

Owner Lab

  • CT D02 - Mount Shasta Field Laboratory

DIME Sample ID 2023-04-20-50

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 Date04/20/2023 Sample Unique Key50
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 testing04/20/2023
Sample typeDepartment Acceptance A brief description of the sampleMinor Concrete
The quantity of what the sample constitutes60 Cubic Yards From where was the sample collectedJob Site
First name of sampler or witnessed byDanny Last name of sampler or witnessed byHansen
Title of samplerMaterial 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

Material Information

Material TypeConcrete The concrete mix design number505S
The truck number from where the sample was collected3rd Truck Load The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plantMountain Ready Mix 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 TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-04-20-50-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDanny Hansen, CT D02 - Mount Shasta Field Laboratory04/27/2023Nicole Mallory
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-04-20-50-1 CTM 521-June 2020