Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2022-12-22-50
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 215374 DEA: 060X2704 EFIS: 0618000048 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-5-37.2/48.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PAVEMENT REHABILITATION |
| Location Description | FROM 1.9 MILES NORTH OF THREE ROCKS ROAD UC TO 0.2 MILES SOUTH OF PANOCHE ROAD OC |
| QA Service Level | 1 (Verified on 12/16/2020) |
Sample Information
| Sample Taken Date | 12/22/2022 | Sample Unique Key | 50 |
|---|---|---|---|
| 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 | 12/23/2022 |
| Sample type | Quality Assurance | A brief description of the sample | structural concrete |
| The quantity of what the sample constitutes | Unknown | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Angelica | Last name of sampler or witnessed by | Z |
| Title of sampler | QA 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 | 628101AG |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 36971 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | 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: 2022-12-22-50-1 ASTM C39-18 (Verified)