Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-02-09-34
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215014 DEA: 101C9404 EFIS: 1016000020 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-5-26.4/27.0 |
| Award Date | 11/03/2020 |
| Closeout Date | 03/03/2022 |
| Work Description | BRIDGE REHABILITATION |
| Location Description | ON STATE HIGHWAY IN SAN JOAQUIN COUNTY IN STOCKTON FROM 0.3 MILE NORTH OF ROUTE 5/4 SEPARATION TO PERSHING AVENUE |
| QA Service Level | 1 (Verified on 06/03/2020) |
Sample Information
| Sample Taken Date | 02/09/2021 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 02/23/2021 |
| Sample type | Per Request | A brief description of the sample | Rapid Set DOT cube |
| The quantity of what the sample constitutes | 1-2x2 DOT cube | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Ron | Last name of sampler or witnessed by | Matin |
| Title of sampler | SR | Telephone number of sampler | |
| Laboratory sample identification | 21-0026 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Not Provided | Transportation Laboratory (TL) Number | C0001 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | na |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | na | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | na | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||