Sample Record

Owner Lab

  • CT QASI - Sacramento Field Laboratory

DIME Sample ID 2021-10-19-7

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 Date10/19/2021 Sample Unique Key7
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 testing10/19/2021
Sample typeQuality Control A brief description of the sampleGirder
The quantity of what the sample constitutes100CY From where was the sample collectedFabricator
First name of sampler or witnessed byArmando Last name of sampler or witnessed byContreras
Title of sampler Telephone number of sampler9512010162
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameForterra Pipe and Precast, Florin Rd Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number0000
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected00000000000000000
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedfab 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
2021-10-19-7-1CTM TEMP1-16: Test Method for Monitoring Precast Concrete Curing Temperature (Curing temperature)Armando ContrerasCT QASI - Sacramento Field Laboratory10/19/2021Armando Contreras
No
Info