Sample Record

Owner Lab

  • Structure Cast

DIME Sample ID 2022-10-25-70

Project Information

Project IdentifiersProject ID: 215374
DEA: 060X2704
EFIS: 0618000048
DIST-CO-RTE-PM06-FRE-5-37.2/48.8
Award DateNot set
Closeout DateNot set
Work DescriptionPAVEMENT REHABILITATION
Location DescriptionFROM 1.9 MILES NORTH OF THREE ROCKS ROAD UC TO 0.2 MILES SOUTH OF PANOCHE ROAD OC
QA Service Level1 (Verified on 12/16/2020)

Sample Information

Sample Taken Date10/25/2022 Sample Unique Key70
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 testing10/25/2022
Sample typeQuality Control A brief description of the sampleConcrete Test Samples
The quantity of what the sample constitutes9 CY From where was the sample collectedFabricator
First name of sampler or witnessed byBrian Last name of sampler or witnessed byFoley
Title of samplerQuality Control Manager Telephone number of sampler6618334490
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameStructureCast 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 number06-0X2704
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected7346
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from truck into wheelbarrow 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