Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2021-06-02-3

Project Information

Project Identifiers
DEA: No Project
DIST-CO-RTE-PM---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project identifier for material not associated with a project
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date06/02/2021 Sample Unique Key3
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing06/02/2021
Sample typeQuality Control A brief description of the sampletest
The quantity of what the sample constitutes1 From where was the sample collectedJob Site
First name of sampler or witnessed bythinh Last name of sampler or witnessed bynguyen
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nametest Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)343
The fabricator's/manufacturer's product name for the sampleBin 1 - Half-Inch Untreated1 The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedtest
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

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