Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-08-28-5

Project Information

Project IdentifiersProject ID: 210749
DEA: 081G5114
EFIS: 0816000022
DIST-CO-RTE-PM08-RIV-10-57.6/127.0
Award Date08/07/2015
Closeout Date03/15/2016
Work DescriptionSecure bridges and build a crossover at Tex Wash
Location DescriptionIn Riverside County from Jct 86/10 to Arco Ditch
QA Service Level1 (Verified on 08/13/2015)

Sample Information

Sample Taken Date08/28/2015 Sample Unique Key5
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 testing09/01/2015
Sample typeQuality Control A brief description of the sample6x12
The quantity of what the sample constitutes2 From where was the sample collectedJob Site
First name of sampler or witnessed byDAVID Last name of sampler or witnessed byWEEKS
Title of samplerQA INSP Telephone number of samplerUnknown
Laboratory sample identification920-04 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameOLDCASTLE PRECAST Transportation Laboratory (TL) NumberL79 0CPP 004
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierTEX WASH RIGHT BRIDGE
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberUV 273 85SAC
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedXXXXXXX
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedTUCKER DISCHARGE Where the material sample would have been placed if not sampledUnknown
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.