Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-02-09-34

Project Information

Project IdentifiersProject ID: 215014
DEA: 101C9404
EFIS: 1016000020
DIST-CO-RTE-PM10-SJ-5-26.4/27.0
Award Date11/03/2020
Closeout DateNot set
Work DescriptionBRIDGE REHABILITATION
Location DescriptionON STATE HIGHWAY IN SAN JOAQUIN COUNTY IN STOCKTON FROM 0.3 MILE NORTH OF ROUTE 5/4 SEPARATION TO PERSHING AVENUE
QA Service Level1 (Verified on 06/03/2020)

Sample Information

Sample Taken Date02/09/2021 Sample Unique Key34
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 testing02/23/2021
Sample typePer Request A brief description of the sampleRapid Set DOT cube
The quantity of what the sample constitutes1-2x2 DOT cube From where was the sample collectedSupplier
First name of sampler or witnessed byRon Last name of sampler or witnessed byMatin
Title of samplerSR Telephone number of sampler
Laboratory sample identification21-0026 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNot Provided Transportation Laboratory (TL) NumberC0001
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

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

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.