Sample Record
Owner Lab
- CT HQ - Sacramento Materials Management Branch Field Office
DIME Sample ID 2013-06-04-8316545
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 7436 DEA: 120M5504 EFIS: 1212000110 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-73-10.7/11.4 |
| Award Date | 07/09/2012 |
| Closeout Date | 06/06/2014 |
| Work Description | BUILD TWO SHEAR WALL EARTH RETAINING WALL STRUCTURES AND INSTALL HORIZONTAL DRAINS |
| Location Description | CITY OF LAGUNA NIGUEL ON TOLLROAD 73 |
| QA Service Level | 1 (Verified on 10/03/2012) |
Sample Information
| Sample Taken Date | 06/04/2013 | Sample Unique Key | 8316545 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Acceptance | A brief description of the sample | concrete |
| The quantity of what the sample constitutes | cylinders | From where was the sample collected | Other |
| First name of sampler or witnessed by | Brett | Last name of sampler or witnessed by | Soldano |
| Title of sampler | Not set | Telephone number of sampler | Not set |
| Laboratory sample identification | Not set | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Jobsite | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 123134245 |
|---|---|---|---|
| The truck number from where the sample was collected | Not set | The batch plant ticket number from where the sample was collected | 343 |
| Concrete batch plant | Not set | The fabricator/manufacturer designation for the sample | Not set |
| A detailed description of where the material sample was collected | wheelbarrow | Where the material sample would have been placed if not sampled | Not set |
| From Lot No. | Not set | Bag Lot No. | Not set |
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. | |||