Sample Record

DIME Sample ID 2023-06-28-30

Project Information

Project IdentifiersProject ID: 213466
DEA: 034H4404
DIST-CO-RTE-PM03-PLA-80-50.78
Award Date06/25/2018
Closeout Date05/05/2020
Work DescriptionReplace 72" CMP culvert and invert pave the length of the culvert
Location DescriptionNot set
QA Service Level1 (Verified on 01/08/2019)

Owner Lab

  • CT D03 - Chico Field Laboratory

Sample Information

Sample Taken Date06/28/2023 Sample Unique Key30
Date that the sample was received by the laboratory/organization performing the testing06/30/2023 Sample typeDepartment Acceptance
A brief description of the sampleTextured Wall Pile 154-144 The quantity of what the sample constitutes3 4x8 concrete cylinders
From where was the sample collectedJob Site First name of sampler or witnessed byJason
Last name of sampler or witnessed byCharmberry Title of samplerASR
Telephone number of sampler Laboratory sample identification23-118
Linked DIME Sample ID The fabricator/manufacturer/facility nameShasta Ready Mix
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameSolder Pile retaining Wall
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberCT-67SSLA50
The truck number from where the sample was collected41 The batch plant ticket number from where the sample was collected77946
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedTextured Wall pile 154- plie 144 Where the material sample would have been placed if not sampled
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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