Sample Record

Owner Lab

  • CT D08 - Barstow Field Testing Laboratory

DIME Sample ID 2021-10-06-33

Project Information

Project IdentifiersProject ID: 215556
DEA: 081L6504
EFIS: 0820000131
DIST-CO-RTE-PM08--,58-
Award Date06/18/2021
Closeout Date04/08/2022
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date10/06/2021 Sample Unique Key33
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 testing10/06/2021
Sample typeQuality Assurance A brief description of the sample3 RSC beams
The quantity of what the sample constitutes130 CY From where was the sample collectedJob Site
First name of sampler or witnessed by Larry Last name of sampler or witnessed byFrancisco
Title of samplerTE Telephone number of sampler951-830-9112
Laboratory sample identification100621-Set2 Linked DIME Sample ID2021-10-06-2
The fabricator/manufacturer/facility nameLarry Francisco Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeRapid Set ManufacturerFEC
Mix no.SM446BR2 Materials Received10/6/2021
Lot no.1 Batch no.1

Submitted Tests

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