Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-03-01-39
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215697 DEA: 07318204 EFIS: 0715000286 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-Route 1-4.0/4.2 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CM/GC Project - Work consists of constructing secant wall and slope restoration |
| Location Description | near Point Mugu State Park 0.4 mile South of Sycamore Canyon Road. |
| QA Service Level | 1 (Verified on 08/26/2021) |
Sample Information
| Sample Taken Date | 03/01/2022 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 03/03/2022 |
| Sample type | Preliminary | A brief description of the sample | PCC cylinder trial batch SL4K55WHU |
| The quantity of what the sample constitutes | 10 cubic yards | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | A. | Last name of sampler or witnessed by | Maghsoudloo |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 22-0050 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Associated Ready Mix | Transportation Laboratory (TL) Number | 053549 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SL4K455WHU |
|---|---|---|---|
| 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 | Associated Ready Mix | The fabricator/manufacturer designation for the sample | NA |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | na |
| 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: 2022-03-01-39-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-03-01-39-2 CTM 521-June 2020 (Verified)