Sample Record

Owner Lab

  • CT D07 Plant Services

DIME Sample ID 2022-04-01-15

Project Information

Project IdentifiersProject ID: 214336
DEA: 07302404
EFIS: 0713000488
DIST-CO-RTE-PM07-VEN-101-37/40
Award DateNot set
Closeout DateNot set
Work DescriptionPADRE JUAN REHAB
Location DescriptionVEN 101
QA Service Level1 (Verified on 02/26/2021)

Sample Information

Sample Taken Date04/01/2022 Sample Unique Key15
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 testing04/04/2022
Sample typeAcceptance A brief description of the sample1x4 and WCS
The quantity of what the sample constitutes100 cy From where was the sample collectedJob Site
First name of sampler or witnessed byVictor Last name of sampler or witnessed byPham
Title of sampler Telephone number of sampler2137924794
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShort Load- Rte 101 Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-33-0035
The fabricator's/manufacturer's product name for the samplePCC mix The fabricator/manufacturer designation for the samplemix CTS-65-EHI
The plant numbershort load ventura A detailed description of where the material sample was collectedStockpile @ Yard
Where the material sample would have been placed if not sampledslab replacement Primary Aggregate Nominal Size1 inch
The concrete mix design numberCTS-65-EHI Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-04-01-15-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVictor PhamCT D07 Plant Services04/04/2022Victor Pham
Yes
04/07/2022
2022-04-01-15-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Victor PhamCT D07 Plant Services04/04/2022Victor Pham
Yes
04/07/2022
2022-04-01-15-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVictor PhamCT D07 Plant Services04/04/2022Victor Pham
Yes
04/07/2022
2022-04-01-15-4CTM 217-June 2011: Method of Test for Sand EquivalentVictor PhamCT D07 Plant Services04/04/2022Victor Pham
Yes
04/07/2022
2022-04-01-15-5CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingVictor PhamCT D07 Plant Services04/04/2022Victor Pham
Yes
04/07/2022