Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2022-11-09-34
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 99999 DEA: 0322222 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC,OMG-888,99,80-0.6-0.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| Location Description | THIS 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 Date | 11/09/2022 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 11/10/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Portland Cement Concrete |
| The quantity of what the sample constitutes | 70 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Michele | Last name of sampler or witnessed by | Stover |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Fraser - Fortuna | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 12-5500 | |
| Structure name | Fortuna Materials Lab |
Material Information
| Material Type | Concrete | The concrete mix design number | MF CL 2 SLAG |
|---|---|---|---|
| The truck number from where the sample was collected | 0693 | The batch plant ticket number from where the sample was collected | 28035 |
| Concrete batch plant | Mercer Fraser Fortuna | The fabricator/manufacturer designation for the sample | MF CL 2 SLAG |
| A detailed description of where the material sample was collected | ready mix trk | Where the material sample would have been placed if not sampled | footings |
| 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 |
|---|---|---|---|---|---|---|---|---|
| 2022-11-09-34-1 | ASTM C143-10a: Standard Test Method for Slump of Hydraulic-Cement Concrete | Michele Stover, CT D01 - District 1 Materials Laboratory | 01/13/2023 | Michele Stover | No | Info | ||
| 2022-11-09-34-2 | CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure Method | Michele Stover, CT D01 - District 1 Materials Laboratory | 01/13/2023 | Michele Stover | No | Info | ||
| 2022-11-09-34-3 | CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement Concrete | Michele Stover, CT D01 - District 1 Materials Laboratory | 01/13/2023 | Michele Stover | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-11-09-34-1 ASTM C143-10a
DIME Test ID: 2022-11-09-34-2 CTM 504-June 2010
DIME Test ID: 2022-11-09-34-3 CTM 557-June 2020