Sample Record
DIME Sample ID 2024-01-12-19
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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 | 08/21/2023 |
| Closeout Date | 05/09/2025 |
| Work Description | FRE 180 Emergency Slope Repairs. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 10/20/2023) |
Owner Lab
- CT D06 - Millbrook Field Laboratory
Sample Information
| Sample Taken Date | 01/12/2024 | Sample Unique Key | 19 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/16/2024 | Sample type | Department Acceptance |
| A brief description of the sample | HSR Wet Hole Concrete | The quantity of what the sample constitutes | 32 |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Sok |
| Last name of sampler or witnessed by | Thun | Title of sampler | Assistant Structure Representative |
| Telephone number of sampler | 5595199703 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Outback Materials | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | 06-1G3304 | Structure name | Soldier Pile Wall |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 40F5G07 |
|---|---|---|---|
| The truck number from where the sample was collected | 111 | The batch plant ticket number from where the sample was collected | 152700 |
| Concrete batch plant | Outback Materials | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Concrete from the truck | Where the material sample would have been placed if not sampled | Soldier pile #6 |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-01-12-19-1 ASTM C1064-17 (Verified)
DIME Test ID: 2024-01-12-19-2 CTM 521-June 2020 (Verified)