Sample Record
Owner Lab
- Con-Fab California, LLC
DIME Sample ID 2020-09-18-18
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Project Information
| Project Identifiers | Project ID: 214847 DEA: 074W8204 EFIS: 0720000009 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-17.7 |
| Award Date | 05/21/2020 |
| Closeout Date | 08/02/2021 |
| Work Description | REPLACE STRUCTURAL CONCRETE BRIDGE AND PLACE CONCRETE BARRIER. |
| Location Description | VENTURA COUNTY IN CAMARILLO AT CENTRAL AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 07/08/2020) |
Sample Information
| Sample Taken Date | 09/18/2020 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 09/19/2020 |
| Sample type | Quality Control | A brief description of the sample | PCC 6"x12" test cylinder |
| The quantity of what the sample constitutes | 1 girder | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jorge | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Con-Fab California, LLC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SCC-S90-0F |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 2498 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | back of truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-09-18-18-1 ASTM C39-10 (Verified)
DIME Test ID: 2020-09-18-18-2 CTM TEMP1-16 (Verified)