Sample Record
Owner Lab
- CT D02 - Mount Shasta Field Laboratory
DIME Sample ID 2023-04-20-50
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 | 04/20/2023 | 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 | 04/20/2023 |
| Sample type | Department Acceptance | A brief description of the sample | Minor Concrete |
| The quantity of what the sample constitutes | 60 Cubic Yards | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Danny | Last name of sampler or witnessed by | Hansen |
| Title of sampler | Material Tester | Telephone number of sampler | |
| Laboratory sample identification | 001 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Mountain Ready Mix | Transportation Laboratory (TL) Number | 166674 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 505S |
|---|---|---|---|
| The truck number from where the sample was collected | 3rd Truck Load | The batch plant ticket number from where the sample was collected | Unknown |
| Concrete batch plant | Mountain Ready Mix | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Back of truck | Where the material sample would have been placed if not sampled | Sta 240 to 300 |
| 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 |
|---|---|---|---|---|---|---|---|---|
| 2023-04-20-50-1 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | Danny Hansen, CT D02 - Mount Shasta Field Laboratory | 04/27/2023 | Nicole Mallory | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-04-20-50-1 CTM 521-June 2020