Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2019-08-28-10

Project Information

Project IdentifiersProject ID: 214283
DEA: 044Q0304
EFIS: 0419000306
DIST-CO-RTE-PM04-SON-1-11.2, 11.20
Award Date05/01/2019
Closeout Date06/20/2022
Work DescriptionREPLACE FAILED 60" CMP CULVERT WITH 10'x10' PRECAST REINFORCED CONCRETE BOX
Location DescriptionNot set
QA Service Level1 (Verified on 08/19/2019)

Sample Information

Sample Taken Date08/28/2019 Sample Unique Key10
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 testing08/30/2019
Sample typeQuality Assurance A brief description of the sampleTwo 6 X 12 Concrete Samples
The quantity of what the sample constitutestwo From where was the sample collectedJob Site
First name of sampler or witnessed byB Last name of sampler or witnessed byNou
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJobsite Transportation Laboratory (TL) Number239936
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number4100A
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collected000000
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedJobsite Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments