Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-10-19-18

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 Date10/19/2022 Sample Unique Key18
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 testing10/19/2022
Sample typeDepartment Acceptance A brief description of the sample3/8" X #8
The quantity of what the sample constitutes700 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byKevin Last name of sampler or witnessed byHopkins
Title of samplerPlant Inspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Ventura - Portable PCC Transportation Laboratory (TL) NumberC101922B
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0046
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant numberGranite Portable Jobsite Ventura A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberG3-21-PCC-249R Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-10-19-18-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKevin Hopkins, CT D07 - Plant Services10/20/2022Kevin Hopkins
Yes
10/28/2022
2022-10-19-18-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Kevin Hopkins, CT D07 - Plant Services10/20/2022Kevin Hopkins
Yes
10/28/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-10-19-18-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-10-19-18-2 CTM 227-December 2014 (Verified)