Sample Record

Owner Lab

  • CT D01 - Field Laboratory

DIME Sample ID 2021-09-08-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214579
DEA: 010B0904
EFIS: 0100020444
DIST-CO-RTE-PM01-DN-101-8.2/8.7
Award Date04/21/2020
Closeout DateNot set
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionDEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date09/08/2021 Sample Unique Key4
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 testing09/09/2021
Sample typeAcceptance A brief description of the sampleunknown
The quantity of what the sample constitutesunkown From where was the sample collectedJob Site
First name of sampler or witnessed byRasheed Last name of sampler or witnessed byRasheed
Title of sampler Telephone number of sampler
Laboratory sample identificationC0111 Linked DIME Sample ID
The fabricator/manufacturer/facility nameunknown Transportation Laboratory (TL) Number010522
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberunknown
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedunknown
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedunknown 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
2021-09-08-4-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersShawn TauscherCT D01 - Field Laboratory09/22/2021Shawn Tauscher
Yes
10/12/202114 day break