Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2020-09-10-26

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date09/10/2020 Sample Unique Key26
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 testing11/05/2020
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes12 From where was the sample collectedFabricator
First name of sampler or witnessed byAdriana Last name of sampler or witnessed byOrtiz
Title of sampler Telephone number of sampler3238053068
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameProcast Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number9999999999
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected999999
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconcrete truck 160 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

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