Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2002-04-25-1

Project Information

Project IdentifiersProject ID: 208714
DEA: 08043514
EFIS: 0800000010
DIST-CO-RTE-PM08-SBD-58-R22.2/R31.1
Award Date12/30/2014
Closeout Date08/29/2018
Work DescriptionREALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY
Location DescriptionHINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD.
QA Service Level1 (Verified on 03/22/2013)

Sample Information

Sample Taken Date04/25/2002 Sample Unique Key1
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 testing04/27/2017
Sample typeQuality Assurance A brief description of the sample6X12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byMIKE Last name of sampler or witnessed byNUNEZ
Title of samplerTECH Telephone number of samplerUnknown
Laboratory sample identification915-517 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameROBERTSONS Transportation Laboratory (TL) NumberLCB-042517-1
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierSR58 EXPRESS WAY AT HINKLEY
Structure nameA1 LINE WB STA 1198 60

Material Information

Material TypeConcrete The concrete mix design numberLB16-0041
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedNP
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedA1 LINE WB STA 1198 60 Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

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