Sample Record

Owner Lab

  • CT SC - 3667 - Chico

DIME Sample ID 2024-05-08-19

Project Information

Project IdentifiersProject ID: 994997
DEA: 030H1614
EFIS: 0323000025
Award Date07/18/2023
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 07/20/2023)

Sample Information

Sample Taken Date05/08/2024 Sample Unique Key19
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing05/09/2024
Sample typeDepartment Acceptance A brief description of the sampleStructure Concrete
The quantity of what the sample constitutesBinney Valve Box Upper Walls From where was the sample collectedJob Site
First name of sampler or witnessed byTravis Last name of sampler or witnessed byChristie
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1615453
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected42696377
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedJobsite truck chute 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 TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments