Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2023-02-09-52

Project Information

Project IdentifiersProject ID: 214579
DEA: 010B0904
EFIS: 0100020444
DIST-CO-RTE-PM01-DN-101-8.2/8.7
Award Date04/21/2020
Closeout DateNot set
Work DescriptionPanther Creek & Hunter Creek Bridges
Location DescriptionDEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date02/09/2023 Sample Unique Key52
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 testing02/10/2023
Sample typeQuality Assurance A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutesunknown From where was the sample collectedJob Site
First name of sampler or witnessed byomar Last name of sampler or witnessed byAhmad
Title of sampler Telephone number of sampler
Laboratory sample identificationC0149 Linked DIME Sample ID
The fabricator/manufacturer/facility nameunknown Transportation Laboratory (TL) Number281105
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberunknown
The truck number from where the sample was collected95 The batch plant ticket number from where the sample was collectedunknown
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedtruck chute 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
2023-02-09-52-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersLeif Ayres, CT D01 - District 1 Materials Laboratory03/09/2023Leif Ayres
Yes
03/09/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-02-09-52-1 CTM 521-June 2020 (Verified)