Sample Record

Owner Lab

  • CT SC - 3667 - Chico

DIME Sample ID 2024-09-20-14

Project Information

Project IdentifiersProject ID: 993253
DEA: 033F0604
EFIS: 0312000052
DIST-CO-RTE-PM03-GLE-162-76.3/78.6
Award Date02/02/2022
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date09/20/2024 Sample Unique Key14
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the samplePCC
The quantity of what the sample constitutesHinge 6 - Supported Side From where was the sample collectedJob Site
First name of sampler or witnessed byBen Last name of sampler or witnessed byBaker
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMathews Readymix Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number075157P25O
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected16029664
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow 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 TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments