Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2026-01-23-29
Project Information
| Project Identifiers | Project ID: 1000851 DEA: 07351704 EFIS: 0718000204 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-118,118-15.6/R17.9 |
| Award Date | 03/25/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HMA. |
| Location Description | VENTURA COUNTY IN MOORPARK AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 03/11/2025) |
Sample Information
| Sample Taken Date | 01/23/2026 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 01/24/2026 |
| Sample type | Acceptance | A brief description of the sample | 6 x 12 LCB Cylinders |
| The quantity of what the sample constitutes | 150 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | jacinto | Last name of sampler or witnessed by | villanueva |
| Title of sampler | TEC | Telephone number of sampler | 8182096574 |
| Laboratory sample identification | 26-0275 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Rassmunson | 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 | 2024-LCBRS |
|---|---|---|---|
| The truck number from where the sample was collected | 114 | The batch plant ticket number from where the sample was collected | 114 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | rassmusson | |
| A detailed description of where the material sample was collected | on site nexty to the truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
