Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2013-06-07-11289624

Project Information

Project IdentifiersProject ID: 999
DEA: 032E1404
Award Date11/20/2006
Closeout Date12/17/2012
Work DescriptionWiden Roadway and Surface near Hazel Ave
Location Description
QA Service Level1 (Verified on 02/01/2007)

Sample Information

Sample Taken Date06/07/2013 Sample Unique Key11289624
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 testing06/30/2013
Sample typeQuality Control A brief description of the sample111
The quantity of what the sample constitutes111 From where was the sample collectedSource
First name of sampler or witnessed by11 Last name of sampler or witnessed by11
Title of sampler1 Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility name111 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 number111
The truck number from where the sample was collectedNot set The batch plant ticket number from where the sample was collected111
Concrete batch plantNot set The fabricator/manufacturer designation for the sampleNot set
A detailed description of where the material sample was collected111 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

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Test File Attachments