Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2018-07-18-21
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Project Information
| Project Identifiers | Project ID: 212534 DEA: 010H4904 EFIS: 0117000229 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM,HUM-101-29.4, 29.40 |
| Award Date | 06/23/2017 |
| Closeout Date | 01/04/2021 |
| Work Description | Slide and roadway repairs |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 07/24/2017) |
Sample Information
| Sample Taken Date | 07/18/2018 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 08/17/2018 |
| Sample type | Verification | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | unknown | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | s | Last name of sampler or witnessed by | sami |
| Title of sampler | asr | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Unknown | 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 | 01 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 01 |
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-07-18-21-1 CTM 521-November 2014 (Verified)