Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2023-01-03-8

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 Date01/03/2023 Sample Unique Key8
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 testing01/03/2023
Sample typeVerification A brief description of the samplePortland Cement Concrete
The quantity of what the sample constitutes70 CY From where was the sample collectedJob Site
First name of sampler or witnessed byMichele Last name of sampler or witnessed byStover
Title of samplerTET Telephone number of sampler7074960974
Laboratory sample identificationC0155 Linked DIME Sample ID
The fabricator/manufacturer/facility nameEureka Ready Mix Transportation Laboratory (TL) Number281104
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure namePanther Creek

Material Information

Material TypeConcrete The concrete mix design numberE564WRS
The truck number from where the sample was collected694 The batch plant ticket number from where the sample was collected027675
Concrete batch plantEureka Ready Mix Concrete Company The fabricator/manufacturer designation for the sampleClass 2 Slag
A detailed description of where the material sample was collectedChute 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