Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-01-24-6
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Project Information
| Project Identifiers | Project ID: 995260 DEA: 061G0504 EFIS: 0623000195 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-VAR,(180),245-99/104, (99.0)/0.0/(104.0)/9.0 |
| Award Date | 03/29/2023 |
| Closeout Date | Not set |
| Work Description | Routes 180, 245 Emergency Slip Out Repair |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 10/20/2023) |
Sample Information
| Sample Taken Date | 01/24/2024 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 01/23/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Structural Backfill |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | ye | Last name of sampler or witnessed by | Yang |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vulcan Sanger | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-10-0010 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-01-24-6-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-24-6-2 CTM 217-June 2011 (Verified)