Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-07-11-49
Project Information
Project Identifiers | Project ID: 4958 DEA: 080J0004 |
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DIST-CO-RTE-PM | 08-SBD-38-43.4 |
Award Date | Not set |
Closeout Date | 08/17/2021 |
Work Description | INSTALL W/B LEFT TURN LANE AND INSTALL NEW TRAFFIC SIGNAL |
Location Description | Not set |
QA Service Level | 2 (Verified on 07/09/2021) |
Sample Information
Sample Taken Date | 07/11/2023 | Sample Unique Key | 49 |
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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 | 07/27/2023 |
Sample type | Quality Assurance | A brief description of the sample | g |
The quantity of what the sample constitutes | g | From where was the sample collected | Source |
First name of sampler or witnessed by | g | Last name of sampler or witnessed by | g |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | g | 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 | g |
---|---|---|---|
The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | fg | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | fg | Where the material sample would have been placed if not sampled | |
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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |