Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-12-15-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995263 DEA: 061G3304 EFIS: 0624000029 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-180-118/138 |
| Award Date | 08/18/2023 |
| Closeout Date | Not set |
| Work Description | FRE 180 Emergency Slope Repairs. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 10/20/2023) |
Sample Information
| Sample Taken Date | 12/15/2023 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 12/15/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/8" and Sand con aggs |
| The quantity of what the sample constitutes | 9yds | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Mills |
| Title of sampler | Telephone number of sampler | 8033087727 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Outback Fresno | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-10-0005 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Stockpile @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | 40F5G07 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||