Sample Record

Owner Lab

  • ZZCT - Sacramento DIME Development-AVS Testing Internal

DIME Sample ID 2014-07-02-22004051

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Sample Information

Sample Taken Date07/02/2014 Sample Unique Key22004051
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 testingNot set
Sample typeVerification A brief description of the sampleType II Cement
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byFattah Last name of sampler or witnessed byKazi
Title of samplerInspector Telephone number of sampler(510) 620-5698
Laboratory sample identificationP7-009 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameAssociate Ready Mix - LA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierp7-009
Structure nameNot set

Material Information

Material TypeConcrete The concrete mix design number559336
The truck number from where the sample was collectedN/A The batch plant ticket number from where the sample was collected4817119
Concrete batch plant201H215051 The fabricator/manufacturer designation for the samplelehigh
A detailed description of where the material sample was collectedunder the hopper as per CTM 125 Where the material sample would have been placed if not sampledto the production system
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test Card Drafts

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