Sample Record
Owner Lab
- CT D04 - Richmond Field Laboratory
DIME Sample ID 2024-09-28-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994503 DEA: 042W0704 EFIS: 0421000133 MINOR: 04A6556 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 02/28/2023) |
Sample Information
| Sample Taken Date | 09/28/2024 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 09/28/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2 x 3/8 PCC |
| The quantity of what the sample constitutes | 2 Bags sand + Rock | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | IGNACIO | Last name of sampler or witnessed by | ARECHIGA |
| Title of sampler | Lab Technician | Telephone number of sampler | 5102077252 |
| Laboratory sample identification | Rich_24_127 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Shamrock /San Rafael | 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) | 000000000000000 |
|---|---|---|---|
| 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 | Plant Stockpiles | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | D67112E1 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-28-27-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-09-28-27-2 CTM 202-November 2011 (Verified)