Sample Record
DIME Sample ID 2022-10-04-43
Project Information
| Project Identifiers | Project ID: 214336 DEA: 07302404 EFIS: 0713000488 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-37/40 |
| Award Date | 11/17/2020 |
| Closeout Date | 09/24/2024 |
| Work Description | PADRE JUAN REHAB |
| Location Description | VEN 101 |
| QA Service Level | 1 (Verified on 02/26/2021) |
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
Sample Information
| Sample Taken Date | 10/04/2022 | Sample Unique Key | 43 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 10/05/2022 | Sample type | Department Acceptance |
| A brief description of the sample | 6x12 concrete cylinders | The quantity of what the sample constitutes | 130 CY |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Derek |
| Last name of sampler or witnessed by | Bezotte | Title of sampler | Sequoia QC |
| Telephone number of sampler | Laboratory sample identification | 22-2649 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Granite Construction Batch Plant | |
| Transportation Laboratory (TL) Number | 22-2649 | 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 | G3-21-PCC-249R |
|---|---|---|---|
| The truck number from where the sample was collected | 6 | The batch plant ticket number from where the sample was collected | 9005 |
| Concrete batch plant | Granite Construction Ventura | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | From loader to wheelbarrow | 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. | |||
