Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2024-04-11-76

Project Information

Project IdentifiersProject ID: 995498
DEA: 072XL104
EFIS: 0724000158
DIST-CO-RTE-PM07-LA-10-14.23
Award DateNot set
Closeout DateNot set
Work DescriptionColumn Casings Repair Work
Location DescriptionNot set
QA Service Level1 (Verified on 11/20/2023)

Sample Information

Sample Taken Date04/11/2024 Sample Unique Key76
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 testing04/30/2024
Sample typeDepartment Acceptance A brief description of the sample4X8 PCC cylinders
The quantity of what the sample constitutes130 CY From where was the sample collectedJob Site
First name of sampler or witnessed byAziz Last name of sampler or witnessed byJavahery
Title of samplerAssistant Structure Representative Telephone number of sampler
Laboratory sample identification24-066 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving company Transportation Laboratory (TL) Number2024-04-11-66
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number45ESCC
The truck number from where the sample was collected3823 The batch plant ticket number from where the sample was collected1922219
Concrete batch plantSecurity Paving The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedtruck 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
2024-04-11-76-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195305/09/2024Robert Achuela
Yes
05/13/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-04-11-76-1 CTM 521-June 2020 (Verified)