Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-08-16-45
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215497 DEA: 09377704 EFIS: 0918000047 |
|---|---|
| DIST-CO-RTE-PM | 09-MNO-395-34.1 |
| Award Date | 05/05/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT MAINTENANCE STATION. |
| Location Description | MONO COUNTY AT CRESTVIEW AT THE CRESTVIEW SATELLITE MAINTENANCE STATION |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 08/16/2023 | Sample Unique Key | 45 |
|---|---|---|---|
| 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 | 08/17/2023 |
| Sample type | Acceptance | A brief description of the sample | 4000 PSI Mix |
| The quantity of what the sample constitutes | (8) 4x8 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jeffery | Last name of sampler or witnessed by | Puente |
| Title of sampler | QA | Telephone number of sampler | 6614400636 |
| Laboratory sample identification | Conc-02 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Mammoth Ready Mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Crestview Cinder Shed |
Material Information
| Material Type | Concrete | The concrete mix design number | 1302-25590 |
|---|---|---|---|
| The truck number from where the sample was collected | 74 | The batch plant ticket number from where the sample was collected | 54815 |
| Concrete batch plant | Mammoth Ready Mix | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Crestview Cinder Shed - Slab on Grade | 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||