Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2021-10-30-4
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Project Information
| Project Identifiers | Project ID: 215556 DEA: 081L6504 EFIS: 0820000131 |
|---|---|
| DIST-CO-RTE-PM | 08--,58- |
| Award Date | 06/18/2021 |
| Closeout Date | 04/08/2022 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 10/30/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | 09/30/2021 |
| Sample type | Quality Assurance | A brief description of the sample | PCC Rapid set beams |
| The quantity of what the sample constitutes | 6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Larry | Last name of sampler or witnessed by | Francisco |
| Title of sampler | te | Telephone number of sampler | |
| Laboratory sample identification | 10082021-SET NO11 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | FEC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | RTE 58 EB LN 1 PM 14dot 2 |
Material Information
| Material Type | Concrete | The concrete mix design number | SM446BR2 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | AT THE JOB SITE | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-10-30-4-1 ASTM C293-10 (Verified)
DIME Test ID: 2021-10-30-4-2 ASTM C293-10 (Verified)
DIME Test ID: 2021-10-30-4-3 ASTM C293-10 (Verified)