Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-04-09-31
Project Information
Project Identifiers | Project ID: 993502 DEA: 070Q4704 EFIS: 0720000217 MINOR: 07A5066 |
---|---|
DIST-CO-RTE-PM | 07-LA-710-R15.1/R16.1 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Slab Replacement |
Location Description | Not set |
QA Service Level | 1 (Verified on 01/10/2022) |
Sample Information
Sample Taken Date | 04/09/2022 | Sample Unique Key | 31 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 04/12/2022 |
Sample type | Department Acceptance | A brief description of the sample | 1x4 and WCS |
The quantity of what the sample constitutes | 86 cy | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Pham |
Title of sampler | Telephone number of sampler | 2137924794 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Short Load Concrete Anaheim | Transportation Laboratory (TL) Number | C0409A1 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0035 |
---|---|---|---|
The fabricator's/manufacturer's product name for the sample | Individual Slab Replacement | The fabricator/manufacturer designation for the sample | mix CTS-65-EHI |
The plant number | A detailed description of where the material sample was collected | Roadway | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
The concrete mix design number | CTS-65-EHI | Lot number | |
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-04-09-31-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-04-09-31-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-04-09-31-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-04-09-31-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-04-09-31-5 CTM 226-July 2010 (Verified)