Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2018-01-09-6

Project Information

Project IdentifiersProject ID: 9999
DEA: 00000000
EFIS: 0000000000
COOP: 99999333399
MINOR: 333333
Permit Numbers: 555555 0400NRT0000
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level1 (Verified on 04/05/2013)

Sample Information

Sample Taken Date01/09/2018 Sample Unique Key6
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 Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes10 cu yards From where was the sample collectedJob Site
First name of sampler or witnessed bymark Last name of sampler or witnessed byvincent
Title of samplerTET Telephone number of sampler661 674-7151
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility name7-11 Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierds3
Structure name

Material Information

Material TypeConcrete The concrete mix design number4500 hs
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected4563321
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedready mix truck 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.

Sample File Attachments

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Test File Attachments