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 DateNot set
Closeout Date11/01/2022
Work DescriptionSpecial project identifier for material not associated with a project
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/21/2024 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample4x8 concrete cylinders The quantity of what the sample constitutesOne Sample Every 100 CY
From where was the sample collectedJob Site First name of sampler or witnessed byBrian
Last name of sampler or witnessed byCinkutis Title of samplerS
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameTidewater Starry pit
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameAbutment no. 4
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberE
The truck number from where the sample was collected30 The batch plant ticket number from where the sample was collected12343
Concrete batch plantTidewater Contractors The fabricator/manufacturer designation for the sampleTidewater
A detailed description of where the material sample was collectedDischard 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 IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments