Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2018-07-20-7
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212634 DEA: 09356804 EFIS: 0912000054 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-395-117.3 |
| Award Date | 10/02/2017 |
| Closeout Date | 09/04/2019 |
| Work Description | CONSTRUCT TRAFFIC SIGNAL. |
| Location Description | INYO COUNTY NEAR BISHOP AT SEE VEE LANE |
| QA Service Level | 1 (Verified on 05/10/2018) |
Sample Information
| Sample Taken Date | 07/20/2018 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 07/24/2018 |
| Sample type | Acceptance | A brief description of the sample | Poles without steel |
| The quantity of what the sample constitutes | 1 load | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mark | Last name of sampler or witnessed by | Vincent |
| Title of sampler | TET | Telephone number of sampler | 7609378955 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | 711 materials | 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 | 628415A6 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | not available |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | chute | 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. | |||