Sample Record
DIME Sample ID 2024-11-14-49
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Project Information
| Project Identifiers | Project ID: 1000580 DEA: 071XW104 EFIS: 0723000028 |
|---|---|
| DIST-CO-RTE-PM | 07--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | VENTURA COUNTY IN CITY OF FILLMORE VEN-126REPLACE/CONSTRUCT THE FILLMORE MAINTENANCESTATION DAMAGED BY HIGH WINDS DIR\\'S EMERGENCY |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/09/2024) |
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
Sample Information
| Sample Taken Date | 11/14/2024 | Sample Unique Key | 49 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 11/19/2024 | Sample type | Informational |
| A brief description of the sample | 4X8 PCC cylinders | The quantity of what the sample constitutes | 130 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Aziz |
| Last name of sampler or witnessed by | MAGHSOUDLOO | Title of sampler | Structure Representative |
| Telephone number of sampler | Laboratory sample identification | 24-406 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | State Ready Mix | |
| Transportation Laboratory (TL) Number | 11142024 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 150156 |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 90166 |
| Concrete batch plant | State Ready Mix | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | truck chute | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-11-14-49-1 CTM 521-June 2020 (Verified)