Sample Record
Owner Lab
- CT HQ - FFS - Skid Testing
DIME Sample ID 2024-02-23-3
Project Information
Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
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DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
Award Date | 04/21/2020 |
Closeout Date | Not set |
Work Description | Panther Creek & Hunter Creek Bridges |
Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
Sample Taken Date | 02/23/2024 | Sample Unique Key | 3 |
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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 | 02/23/2024 |
Sample type | Department Acceptance | A brief description of the sample | BRIDGE DECK |
The quantity of what the sample constitutes | BRIDGE DECK | From where was the sample collected | Job Site |
First name of sampler or witnessed by | HARISH | Last name of sampler or witnessed by | THAKUR |
Title of sampler | Telephone number of sampler | 9152961873 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | JOB SITE | 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 | 0000000000000000 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 00000000000000000 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | 00000000000000000 | 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. |