Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-03-05-4

Project Information

Project IdentifiersProject ID: 209019
DEA: 071952U4
EFIS: 0700000201
DIST-CO-RTE-PM07-VEN-23,101-3.3/3.8,R0.1/R4.5
Award Date11/21/2013
Closeout Date06/25/2019
Work DescriptionWIDEN FREEWAY AND RAMPS AND RECONSTRUCT MEDIAN.
Location DescriptionVENTURA COUNTY IN THOUSAND OAKS ON ROUTE 101 FROM 0.6 MILE SOUTH OF WESTLAKE BOULEVARD OVERCROSSING TO 0.4 MILE NORTH OF MOORPARK ROAD UNDERCROSSING AND ON ROUTE 23 FROM ROUTE 101 TO 0.1 MILE NORTH OF HILLCREST DRIVE UNDERCROSSING
QA Service Level1 (Verified on 08/13/2013)

Sample Information

Sample Taken Date03/05/2015 Sample Unique Key4
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 testing03/09/2015
Sample typeQuality Control A brief description of the samplecylinders
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byA Last name of sampler or witnessed byMAGHSOUDLOO
Title of samplerASR Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number106614
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierUnknown
Structure nameUnknown

Material Information

Material TypeConcrete The concrete mix design numbernone
The truck number from where the sample was collectedUnknown The batch plant ticket number from where the sample was collectedUnknown
Concrete batch plantUnknown The fabricator/manufacturer designation for the sampleUnknown
A detailed description of where the material sample was collected101 33TO 38 Where the material sample would have been placed if not sampledNot set
From Lot No.Not set Bag Lot No.Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.