Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-11-17-12
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Project Information
| Project Identifiers | Project ID: 211429 DEA: 073X0214 EFIS: 0713000398 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-150-27.4,29.4 |
| Award Date | 06/30/2016 |
| Closeout Date | 06/16/2021 |
| Work Description | REPAIR SLOPE FAILURE. |
| Location Description | VENTURA COUNTY NEAR SANTA PAULA AT 1.1 MILES WEST OF SISAR CREEK AND AT 0.8 MILE SOUTH OF SANTA PAULA CREEK |
| QA Service Level | 1 (Verified on 06/06/2016) |
Sample Information
| Sample Taken Date | 11/17/2016 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 11/21/2016 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | A | Last name of sampler or witnessed by | MAGHSOUDLOO |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 951-55 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | 193655 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 1545429 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | chute | Where the material sample would have been placed if not sampled | rw 53e0344 stem pour first three |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-11-17-12-1 ASTM C39-10 (Verified)