Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2013-03-08-16591111

Project Information

Project IdentifiersProject ID: 1
DEA: 01079734
EFIS: 0100020445
Award Date05/17/2007
Closeout Date07/22/2019
Location DescriptionStatewide
QA Service Level1 (Verified on 11/21/2012)

Sample Information

Sample Taken Date03/08/2013 Sample Unique Key16591111
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 sampledescription
The quantity of what the sample constitutes1.4 sacks From where was the sample collectedSource
First name of sampler or witnessed byfirst Last name of sampler or witnessed bylast
Title of samplertitle Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility namecompnay 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 number11111100000000
The truck number from where the sample was collectedNot set The batch plant ticket number from where the sample was collected11
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collected11 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 Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments