Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2017-10-20-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211162 DEA: 044G4504 EFIS: 0412000477 |
|---|---|
| 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 | 10/20/2017 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 10/20/2017 |
| Sample type | Informational | A brief description of the sample | RSC Bridge Deck Cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mohammad | Last name of sampler or witnessed by | Nasim |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Precision Concrete | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 7337 Rapid Set TH |
|---|---|---|---|
| The truck number from where the sample was collected | UNK | The batch plant ticket number from where the sample was collected | UNK |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Volumetric Mixer | Where the material sample would have been placed if not sampled | Unknown |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||