Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-03-11-64

Project Information

Project IdentifiersProject ID: 214336
DEA: 07302404
EFIS: 0713000488
DIST-CO-RTE-PM07-VEN-101-37/40
Award Date11/17/2020
Closeout Date09/24/2024
Work DescriptionPADRE JUAN REHAB
Location DescriptionVEN 101
QA Service Level1 (Verified on 02/26/2021)

Sample Information

Sample Taken Date03/11/2022 Sample Unique Key64
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 testing03/11/2022
Sample typeQuality Assurance A brief description of the sampleWCS
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) Number031122B
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)91-19-0025
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 Sizefine
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
2022-03-11-64-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKevin Hopkins, CT D07 - Plant Services03/16/2022Kevin Hopkins
Yes
07/08/2022
2022-03-11-64-2CTM 217-June 2011: Method of Test for Sand EquivalentArnold Truong, CT D07 - Plant Services03/16/2022Kevin Hopkins
Yes
07/13/2022
2022-03-11-64-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingArnold Truong, CT D07 - Plant Services03/16/2022Kevin Hopkins
Yes
07/13/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-03-11-64-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-03-11-64-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-03-11-64-3 CTM 226-July 2010 (Verified)