Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-11-01-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 333101 DEA: 03TEST04 EFIS: 03TEST3101 |
|---|---|
| DIST-CO-RTE-PM | 03--- |
| Award Date | 10/01/2021 |
| Closeout Date | Not set |
| Work Description | THIS PROJECT WAS ADDED FOR E3101 DEVELOPMENT AND TESTING PURPOSES. DATA SUBMITTED FOR THIS PROJECT MUST NOT BE USED FOR ANY OTHER PURPOSES. |
| Location Description | THIS PROJECT WAS ADDED FOR E3101 DEVELOPMENT AND TESTING PURPOSES. DATA SUBMITTED FOR THIS PROJECT MUST NOT BE USED FOR ANY OTHER PURPOSES. |
| QA Service Level | 1 (Verified on 09/29/2021) |
Sample Information
| Sample Taken Date | 11/01/2022 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | WB Deck Pour |
| The quantity of what the sample constitutes | 90 Cy | From where was the sample collected | Source |
| First name of sampler or witnessed by | Aaron | Last name of sampler or witnessed by | Franklin |
| Title of sampler | Telephone number of sampler | 8586990513 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Folsom Ready Mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | Mix Design Test |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | tbd | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of Truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||