Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-12-17-51
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994650 DEA: 070W4704 EFIS: 0722000073 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-33,101-Var |
| Award Date | 05/25/2023 |
| Closeout Date | 06/09/2025 |
| Work Description | PLACE PIPELINER, CLEAN, INSPECT AND PREPARE CULVERTS. |
| Location Description | VENTURA COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 07/18/2023) |
Sample Information
| Sample Taken Date | 12/17/2024 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 12/18/2024 |
| Sample type | Acceptance | A brief description of the sample | Concrete |
| The quantity of what the sample constitutes | 10 Cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Chad | Last name of sampler or witnessed by | Chotibhongs |
| Title of sampler | MREA | Telephone number of sampler | 2134076963 |
| Laboratory sample identification | 24-3927 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Associate Ready mixed Concrete | Transportation Laboratory (TL) Number | |
| 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 | SL705SC30 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 7248494 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Wheel Barrow from 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: 2024-12-17-51-1 CTM 521-June 2020 (Verified)