Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2022-11-09-35
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 | 35 |
|---|---|---|---|
| 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 | 01/03/2023 |
| Sample type | Verification | 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 | Emma | Last name of sampler or witnessed by | Oppen |
| Title of sampler | TE | Telephone number of sampler | 7074965730 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Frasier - Fortuna | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 04-0184 | |
| Structure name | Structure Name |
Material Information
| Material Type | Concrete | The concrete mix design number | MFCL2 Slag |
|---|---|---|---|
| The truck number from where the sample was collected | 693 | The batch plant ticket number from where the sample was collected | 028035 |
| Concrete batch plant | Mercer Fraser Co | The fabricator/manufacturer designation for the sample | MFCL2 Slag |
| A detailed description of where the material sample was collected | Truck | Where the material sample would have been placed if not sampled | Abut 1 |
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||