Sample Record
Owner Lab
- CT HQ - Sacramento Materials Management Branch Field Office
DIME Sample ID 2013-06-07-11289624
Project Information
Project Identifiers | Project ID: 999 DEA: 032E1404 |
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DIST-CO-RTE-PM | 03-SAC-50-24.0/29.6 |
Award Date | 11/20/2006 |
Closeout Date | 12/17/2012 |
Work Description | Widen Roadway and Surface near Hazel Ave |
Location Description | |
QA Service Level | 1 (Verified on 02/01/2007) |
Sample Information
Sample Taken Date | 06/07/2013 | Sample Unique Key | 11289624 |
---|---|---|---|
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 | 06/30/2013 |
Sample type | Quality Control | A brief description of the sample | 111 |
The quantity of what the sample constitutes | 111 | From where was the sample collected | Source |
First name of sampler or witnessed by | 11 | Last name of sampler or witnessed by | 11 |
Title of sampler | 1 | Telephone number of sampler | Not set |
Laboratory sample identification | Not set | Linked DIME Sample ID | Not set |
The fabricator/manufacturer/facility name | 111 | 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 | 111 |
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The truck number from where the sample was collected | Not set | The batch plant ticket number from where the sample was collected | 111 |
Concrete batch plant | Not set | The fabricator/manufacturer designation for the sample | Not set |
A detailed description of where the material sample was collected | 111 | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |