Sample Record

Owner Lab

  • CT QASI - Sacramento Field Laboratory

DIME Sample ID 2021-09-24-2

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 Date09/24/2021 Sample Unique Key2
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleMass Pour Conc. at 2300
The quantity of what the sample constitutes9 QA cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byPeter Harvey Last name of sampler or witnessed bySpencer
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFeather River Bridge Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure namePier 20

Material Information

Material TypeConcrete The concrete mix design number9999999999
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected777
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedTruck 8 Where the material sample would have been placed if not sampledMass Concrete Cap
From Lot No. Bag Lot No.

Submitted Tests

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