Sample Record

Owner Lab

  • CT D06 - Bakersfield Field Laboratory

DIME Sample ID 2022-11-17-6

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 Date11/17/2022 Sample Unique Key6
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 testing11/17/2022
Sample typeQuality Assurance A brief description of the sampleConcrete
The quantity of what the sample constitutesThree 4x8 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byDaniel Last name of sampler or witnessed byJones
Title of samplerTET Telephone number of sampler6615498281
Laboratory sample identification10213A Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving batch plant Transportation Laboratory (TL) Number1295361
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRehabilitate Pavement

Material Information

Material TypeConcrete The concrete mix design numberCT675F2
The truck number from where the sample was collected8 The batch plant ticket number from where the sample was collected6947
Concrete batch plantSecurity Paving Company The fabricator/manufacturer designation for the sampleSECURITY PAVING
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampledpavement
From Lot No.1 Bag Lot No.1

Submitted Tests

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