Sample Record
Owner Labs
- CT D01 - Boyd Road Field Laboratory
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2023-10-14-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994671 DEA: 010H8004 EFIS: 0118000110 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-254-4.3/4.7 |
| Award Date | 03/10/2023 |
| Closeout Date | Not set |
| Work Description | Project Name: Myers Flat Permanent Restoration |
| Location Description | Bridge No. 04E0041 |
| QA Service Level | 1 (Verified on 04/11/2023) |
Sample Information
| Sample Taken Date | 10/14/2023 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 10/16/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 6 4x8 Cylinders |
| The quantity of what the sample constitutes | 50 yards | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sami | Last name of sampler or witnessed by | Daouk |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | C0234 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Eureka Ready Mix Alton | 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 | E400F |
|---|---|---|---|
| The truck number from where the sample was collected | 84 | The batch plant ticket number from where the sample was collected | 20590 |
| Concrete batch plant | Eureka Ready Mix Alton | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | chute | Where the material sample would have been placed if not sampled | Miranda Soldier Pile Wall Whaler 1 |
| 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: 2023-10-14-9-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-10-14-9-2 CTM 521-June 2020 (Verified)