Sample Record

Owner Labs

  • Bethlehem Construction, Incorporated
  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-09-21-1

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Sample Information

Sample Taken Date09/21/2022 Sample Unique Key1
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 testing09/21/2022
Sample typeQuality Control A brief description of the samplecores
The quantity of what the sample constitutes4 From where was the sample collectedFabricator
First name of sampler or witnessed byAdriana Last name of sampler or witnessed byOrtiz
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBethlehem Construction 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 numberSCC-ASH-32_2
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 collectedChute discharge into wheel barrel Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments