Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-03-24-46
Project Information
Project Identifiers | Project ID: 215425 DEA: 06360244 EFIS: 0613000005 |
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DIST-CO-RTE-PM | 06-TUL-99-30.6/35.2 |
Award Date | 04/23/2021 |
Closeout Date | Not set |
Work Description | Widen Freeway & Bridge Construction (Concrete Bridge) |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
Sample Taken Date | 03/24/2023 | Sample Unique Key | 46 |
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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 | 03/25/2023 |
Sample type | Acceptance | A brief description of the sample | structural concrete |
The quantity of what the sample constitutes | 300 cy | From where was the sample collected | Job Site |
First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Borsch |
Title of sampler | 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 | 176H57 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 122650 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | SB 99 Sta 47 | Where the material sample would have been placed if not sampled | CIDH 60 |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-03-24-46-1 ASTM C39-18 (Verified)