Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-03-21-6
Project Information
| Project Identifiers | DEA: No Project |
|---|---|
| DIST-CO-RTE-PM | --- |
| Award Date | Not set |
| Closeout Date | 11/01/2022 |
| Work Description | Special project identifier for material not associated with a project |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 03/21/2024 | Sample Unique Key | 6 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | Not set | Sample type | Quality Assurance |
| A brief description of the sample | 4x8 concrete cylinders | The quantity of what the sample constitutes | One Sample Every 100 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Brian |
| Last name of sampler or witnessed by | Cinkutis | Title of sampler | S |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Tidewater Starry pit | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | Abutment no. 4 | |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | E |
|---|---|---|---|
| The truck number from where the sample was collected | 30 | The batch plant ticket number from where the sample was collected | 12343 |
| Concrete batch plant | Tidewater Contractors | The fabricator/manufacturer designation for the sample | Tidewater |
| A detailed description of where the material sample was collected | Dischard fron concrete truck into wheelbarrow. | 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 | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
