Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-03-11-63

Project Information

Project IdentifiersProject ID: 214336
DEA: 07302404
EFIS: 0713000488
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 Date03/11/2022 Sample Unique Key63
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 testing03/13/2022
Sample typeQuality Assurance A brief description of the sample1" X #4
The quantity of what the sample constitutes8 CY From where was the sample collectedJob Site
First name of sampler or witnessed byKevin Last name of sampler or witnessed byHopkins
Title of samplerPlant Inspector Telephone number of sampler213-792-4793
Laboratory sample identification22-0316AT Linked DIME Sample ID
The fabricator/manufacturer/facility nameSHORTLOAD CONCRETE INC Transportation Laboratory (TL) Number031122A
Inspector Lot Number from the Transportation Laboratory (TL) FormKH101A Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-33-0035
The fabricator's/manufacturer's product name for the sampleRSC CONCRETE MIX The fabricator/manufacturer designation for the sampleTrial Slab
The plant numberShortload Volumetric Ventura A detailed description of where the material sample was collectedStockpile @ Yard
Where the material sample would have been placed if not sampledPCC SLAB Primary Aggregate Nominal Size1 inch
The concrete mix design numberCTS-65-EHI Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-11-63-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesArnold Truong, CT D07 - Plant Services03/16/2022Kevin Hopkins
2022-03-11-63-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Arnold Truong, CT D07 - Plant Services03/16/2022Kevin Hopkins

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments

DIME Test ID: 2022-03-11-63-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-03-11-63-2 CTM 227-December 2014 (Verified)