Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-05-12-16
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 | 05/12/2024 | Sample Unique Key | 16 |
---|---|---|---|
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 | 05/12/2024 |
Sample type | Quality Control | A brief description of the sample | Patching mix |
The quantity of what the sample constitutes | 31 CY | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Petetr | Last name of sampler or witnessed by | Harvey |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Kie-Con | 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 | 123 |
---|---|---|---|
The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | MIX TRUCK | 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 |
---|---|---|---|---|---|---|---|---|
No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |