Sample Record

Owner Labs

  • CT SC Sub-unit 3674-102
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-02-23-2

Project Information

Project IdentifiersProject ID: 209384
DEA: 04264094
EFIS: 0400000735
COOP: 042531
DIST-CO-RTE-PM04-,SON--
Award Date01/21/2016
Closeout Date06/03/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date02/23/2017 Sample Unique Key2
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 sampleukfk
The quantity of what the sample constitutesilg From where was the sample collectedJob Site
First name of sampler or witnessed byuif Last name of sampler or witnessed byljj
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namelig 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 number4201a
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedlgi
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedkg Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.