Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2025-10-09-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001065 DEA: 070Y1304 EFIS: 0724000134 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-25.9/30.6 |
| Award Date | 05/22/2025 |
| Closeout Date | Not set |
| Work Description | MAINLINE INDIVIDUAL SLAB REPLACEMENT. |
| Location Description | VENTURA COUNTY IN VENTURA FROM 0.1 MILE WEST OF TELEPHONE RD UNDERCROSSING TO VENTURA AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/01/2025) |
Sample Information
| Sample Taken Date | 10/09/2025 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 10/10/2025 |
| Sample type | Acceptance | A brief description of the sample | ISR-RSC Beams |
| The quantity of what the sample constitutes | 150 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kris | Last name of sampler or witnessed by | Lopez |
| Title of sampler | RMA QC | Telephone number of sampler | |
| Laboratory sample identification | 25-3281 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Short Load 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 | CTS-65-EHI |
|---|---|---|---|
| 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 | Discharge from concrete truck into wheelbarrow. | Where the material sample would have been placed if not sampled | Individual Slab Replacement |
| 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: 2025-10-09-27-1 CTM 524-March 2013 (Verified)