Sample Record

Owner Lab

  • ZZEX DIME Development - AVS Testing External

DIME Sample ID 2013-01-30-11119999

Project Information

Project IdentifiersProject ID: 1
DEA: 01079734
EFIS: 0100020445
DIST-CO-RTE-PM01-VAR--VAR
Award Date05/17/2007
Closeout Date07/22/2019
Work DescriptionSIGNS, ALUMINUM, LAMINATED & FORMED, ROADSIDE AND OVERHEAD APPLICATIONS
Location DescriptionStatewide
QA Service Level1 (Verified on 11/21/2012)

Sample Information

Sample Taken Date01/30/2013 Sample Unique Key11119999
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 sampledesc
The quantity of what the sample constitutes1.4 bag From where was the sample collectedSource
First name of sampler or witnessed byfirst Last name of sampler or witnessed byjones
Title of samplersmr Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility namefacility name Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeConcrete The concrete mix design number999
The truck number from where the sample was collectedNot set The batch plant ticket number from where the sample was collected999
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collected1234 Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

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