Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-09-19-1
Project Information
Project Identifiers | Project ID: 333101 DEA: 03TEST04 EFIS: 03TEST3101 |
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DIST-CO-RTE-PM | 03--- |
Award Date | 10/01/2021 |
Closeout Date | Not set |
Work Description | THIS PROJECT WAS ADDED FOR E3101 DEVELOPMENT AND TESTING PURPOSES. DATA SUBMITTED FOR THIS PROJECT MUST NOT BE USED FOR ANY OTHER PURPOSES. |
Location Description | THIS PROJECT WAS ADDED FOR E3101 DEVELOPMENT AND TESTING PURPOSES. DATA SUBMITTED FOR THIS PROJECT MUST NOT BE USED FOR ANY OTHER PURPOSES. |
QA Service Level | 1 (Verified on 09/29/2021) |
Sample Information
Sample Taken Date | 09/19/2023 | Sample Unique Key | 1 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 09/19/2023 |
Sample type | Quality Control | A brief description of the sample | production concrete |
The quantity of what the sample constitutes | 1 voided slab | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Aaron | Last name of sampler or witnessed by | Franklin |
Title of sampler | Telephone number of sampler | 8586990513 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | KieCon | 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 | test 1 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Test | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Probe in center | 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. |