Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2017-08-30-3
Project Information
Project Identifiers | Project ID: 211162 DEA: 044G4504 EFIS: 0412000477 |
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DIST-CO-RTE-PM | 04-SOL-780-7.07 |
Award Date | 02/01/2017 |
Closeout Date | 11/15/2019 |
Work Description | REPLACE BRIDGE TO PROVIDE STANDARD VERTICAL CLEARANCE |
Location Description | LAUREL STREET OC |
QA Service Level | 1 (Verified on 05/20/2016) |
Sample Information
Sample Taken Date | 08/30/2017 | Sample Unique Key | 3 |
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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 | 09/01/2017 |
Sample type | Quality Assurance | A brief description of the sample | grout |
The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | William | Last name of sampler or witnessed by | Sommer |
Title of sampler | Unknown | Telephone number of sampler | 7075150854 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | RNR Construction | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | Cementitious | Brand | us spec |
---|---|---|---|
Mill | unknown | Type of Cementitious Material | Type II/V Cement |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |