Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2023-05-10-11
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Project Information
| Project Identifiers | Project ID: 994625 DEA: 010M8404 EFIS: 0123000075 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-0/1.5 |
| Award Date | 01/16/2023 |
| Closeout Date | Not set |
| Work Description | Project Name: Hum 101 Slipout |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/30/2023) |
Sample Information
| Sample Taken Date | 05/10/2023 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 05/11/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 6X12 PCC cylinder |
| The quantity of what the sample constitutes | 5 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Louis | Last name of sampler or witnessed by | Melendez |
| Title of sampler | ASR | Telephone number of sampler | 916-708-9615 |
| Laboratory sample identification | C0153 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Pacific Coast Drilling Company | Transportation Laboratory (TL) Number | 166355 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | Unknown |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 679282 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | from chute | 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: 2023-05-10-11-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-05-10-11-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-05-10-11-3 CTM 521-June 2020 (Verified)