Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-10-04-43
Project Information
Project Identifiers | Project ID: 214336 DEA: 07302404 EFIS: 0713000488 |
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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 | 10/04/2022 | Sample Unique Key | 43 |
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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 | 10/05/2022 |
Sample type | Department Acceptance | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Derek | Last name of sampler or witnessed by | Bezotte |
Title of sampler | Sequoia QC | Telephone number of sampler | |
Laboratory sample identification | 22-2649 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Granite Construction Batch Plant | Transportation Laboratory (TL) Number | 22-2649 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | G3-21-PCC-249R |
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The truck number from where the sample was collected | 6 | The batch plant ticket number from where the sample was collected | 9005 |
Concrete batch plant | Granite Construction Ventura | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | From loader to wheelbarrow | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |