Sample Record
Owner Lab
- CT D11 - District 11 Materials Laboratory
DIME Sample ID 2025-02-04-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000320 DEA: 11430324 EFIS: 1118000102 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-805-14.6/23.7 |
| Award Date | 08/23/2024 |
| Closeout Date | Not set |
| Work Description | MODIFY ELECTRICAL, CONCRETE PAVEMENT, DRAINAGE AND SIGNS. |
| Location Description | SAN DIEGO COUNTY IN SAN DIEGO FROM ROUTE 805/15 SEPARATION TO 0.1 MILE NORTH OF ROUTE 805/52 SEPARATION |
| QA Service Level | 1 (Verified on 09/09/2024) |
Sample Information
| Sample Taken Date | 02/04/2025 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 02/06/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete |
| The quantity of what the sample constitutes | 2 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Bonnie | Last name of sampler or witnessed by | Black |
| Title of sampler | Tech | Telephone number of sampler | 5622077309 |
| Laboratory sample identification | 1702-C | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Coffman Specialties, Inc | 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 | 2024-LCBRS |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Not Provided | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | On site | 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: 2025-02-04-17-1 CTM 521-June 2020 (Verified)