Sample Record
Owner Lab
- CT D06 - Fresno Construction Field Office
DIME Sample ID 2024-01-16-35
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 3169 DEA: 060G0504 |
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DIST-CO-RTE-PM | 06-KER-178-20.5/21.7 |
Award Date | Not set |
Closeout Date | 05/17/2011 |
Work Description | WASHOUT |
Location Description | Not set |
QA Service Level | 1 (Verified on 05/17/2011) |
Sample Information
Sample Taken Date | 01/16/2024 | Sample Unique Key | 35 |
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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 | 01/19/2024 |
Sample type | Acceptance | A brief description of the sample | PCC cylinders |
The quantity of what the sample constitutes | 300 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Ye | Last name of sampler or witnessed by | Yang |
Title of sampler | ASR | Telephone number of sampler | 5597790446 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Outback Materials | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | 245 Retaining Wall |
Material Information
Material Type | Concrete | The concrete mix design number | 40F5G07 |
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The truck number from where the sample was collected | 103 | The batch plant ticket number from where the sample was collected | 152838 |
Concrete batch plant | Outback Material | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | Pile #13 |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-01-16-35-1 CTM 521-June 2020 (Verified)