Sample Record

DIME Sample ID 2022-12-08-15

Project Information

Project IdentifiersProject ID: 214670
DEA: 07331004
EFIS: 0716000220
DIST-CO-RTE-PM07-VEN-101-9.0/9.2
Award Date04/13/2022
Closeout Date11/06/2024
Work DescriptionCONCRETE SLAB REPLACEMENT & GRIND, PAVEMENT & RESURFACE ACE
Location DescriptionVENTURA COUNTY IN THOUSAND OAKS FROM NORTHBOUND OFF-RAMP TO SOUTHBOUND OFF-RAMP AT CONEJO COMMERCIAL VEHICLE ENFORCEMENT FACILITIES
QA Service Level1 (Verified on 07/12/2021)

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

Sample Information

Sample Taken Date12/08/2022 Sample Unique Key15
Date that the sample was received by the laboratory/organization performing the testing12/08/2022 Sample typeDepartment Acceptance
A brief description of the sampleISR-RSC The quantity of what the sample constitutes200 CY plus
From where was the sample collectedJob Site First name of sampler or witnessed byPHILIP
Last name of sampler or witnessed byMAQUIRAN Title of samplerMREA
Telephone number of sampler12133581518 Laboratory sample identification22-3165
Linked DIME Sample ID The fabricator/manufacturer/facility namePowell Construction
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberCTS-65-EHI
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected1
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedWheelbarrow from Chute volumetric truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2022-12-08-15-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcretePhillip Maquiran, CT D07 - Materials Field Laboratory, Unit 195312/11/202212/11/2022
Yes
12/11/2022Public - Test Data Visible

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-12-08-15-1 CTM 524-March 2013 (Verified)