Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2022-11-11-17
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 215788 DEA: 101C7904 EFIS: 1016000046 |
|---|---|
| DIST-CO-RTE-PM | 10-MER-5-0.4 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | BUILDING WORK. |
| Location Description | MERCED COUNTY 0.4 MILE NORTH OF THE FRESNO COUNTY LINE AT THE JOHN "CHUCK" ERRECA SAFETY ROADSIDE REST AREA |
| QA Service Level | 1 (Verified on 06/03/2021) |
Sample Information
| Sample Taken Date | 11/11/2022 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 11/12/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | Unknown | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | J | Last name of sampler or witnessed by | delatores |
| Title of sampler | Inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Unknown | 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 | S193 |
|---|---|---|---|
| The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | Unknown |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | 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: 2022-11-11-17-1 CTM 521-June 2020 (Verified)