Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2016-05-25-3

Project Information

Project IdentifiersProject ID: 208944
DEA: 07187224
EFIS: 0700000189
DIST-CO-RTE-PM07-LA-126-R6.8/R9.2
Award DateNot set
Closeout DateNot set
Work DescriptionSR 126/Commerce Center Drive Interchange Project
Location DescriptionNorthwest of the City of Santa Clarita in unincorporated Los Angeles County
QA Service Level1 (Verified on 08/01/2013)

Sample Information

Sample Taken Date05/25/2016 Sample Unique Key3
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 testing05/25/2016
Sample typeQuality Control A brief description of the samplerapid set patching
The quantity of what the sample constitutesUnknown From where was the sample collectedJob Site
First name of sampler or witnessed byDave Last name of sampler or witnessed byDubois
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namerapid set Transportation Laboratory (TL) NumberC1216
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numberUnknown
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collectedUnknown Where the material sample would have been placed if not sampledUnknown
From Lot No.Unknown Bag Lot No.Unknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.