Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2023-08-14-86

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 Date08/14/2023 Sample Unique Key86
Date that the sample was received by the laboratory/organization performing the testing08/15/2023 Sample typeQuality Assurance
A brief description of the sample3 4x8 cylinders The quantity of what the sample constitutesunknown
From where was the sample collectedJob Site First name of sampler or witnessed byJoe
Last name of sampler or witnessed byPedroni Title of samplerASR
Telephone number of sampler7075106120 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameMercer Fraser Company, Willow Creek Plant
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier12-04-0063 Structure nameBluff Creek Bridge
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberMFCL1-45SLAGWC+SRA
The truck number from where the sample was collected682 The batch plant ticket number from where the sample was collectedWC01557
Concrete batch plantWillow Creek Mercer Fraser Plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledApproach Slab LF
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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