Sample Record
Owner Lab
- Surecast West
DIME Sample ID 2026-01-28-38
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1001028 DEA: 07317804 EFIS: 0715000274 COOP: 075065 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-34-6.3 |
| Award Date | 10/29/2024 |
| Closeout Date | Not set |
| Work Description | Construct grade separation structure and connector ramps |
| Location Description | SR34 and Rice Avenue, Oxnard |
| QA Service Level | 2 (Verified on 02/25/2025) |
Sample Information
| Sample Taken Date | 01/28/2026 | Sample Unique Key | 38 |
|---|---|---|---|
| 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 | 01/29/2026 |
| Sample type | Quality Control | A brief description of the sample | TYPE I /II |
| The quantity of what the sample constitutes | 10.00 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JOEY | Last name of sampler or witnessed by | BUCKLER |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CEMEX REDLANDS | 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 | 1610974 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 31878224 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | CONCRETE SAMPLE FROM WHEELBARROW | 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: 2026-01-28-38-1 CTM 521-June 2020 (Verified)