Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-03-11-63
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214336 DEA: 07302404 EFIS: 0713000488 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-37/40 |
| Award Date | 11/17/2020 |
| Closeout Date | 09/24/2024 |
| Work Description | PADRE JUAN REHAB |
| Location Description | VEN 101 |
| QA Service Level | 1 (Verified on 02/26/2021) |
Sample Information
| Sample Taken Date | 03/11/2022 | Sample Unique Key | 63 |
|---|---|---|---|
| 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 | 03/13/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1" X #4 |
| The quantity of what the sample constitutes | 8 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Hopkins |
| Title of sampler | Plant Inspector | Telephone number of sampler | 213-792-4793 |
| Laboratory sample identification | 22-0316AT | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | SHORTLOAD CONCRETE INC | Transportation Laboratory (TL) Number | 031122A |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | KH101A | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0035 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | RSC CONCRETE MIX | The fabricator/manufacturer designation for the sample | Trial Slab |
| The plant number | Shortload Volumetric Ventura | A detailed description of where the material sample was collected | Stockpile @ Yard |
| Where the material sample would have been placed if not sampled | PCC SLAB | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | CTS-65-EHI | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 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)