Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-10-22-4
Project Information
Project Identifiers | Project ID: 994270 DEA: 072XC004 EFIS: 0723000026 |
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DIST-CO-RTE-PM | 07-LA,LA/LA-5-62.12/62.3, 61.5/64.3, R61.5R +R61.2L/R63.7R +R64.3L, R61.5R/R63.7R |
Award Date | 09/01/2022 |
Closeout Date | 11/07/2024 |
Work Description | LA-5 Remove and replace fire timber lagging retaining wall |
Location Description | I5N Near Castaic PM 62.12 and 62.3 |
QA Service Level | 1 (Verified on 09/19/2022) |
Sample Information
Sample Taken Date | 10/22/2022 | Sample Unique Key | 4 |
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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 | 10/24/2022 |
Sample type | Department Acceptance | A brief description of the sample | 6X12 PCC cylinder |
The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Torch | Last name of sampler or witnessed by | Rivera |
Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
Laboratory sample identification | 22-0330 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Security Paving | Transportation Laboratory (TL) Number | 25 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | S72019 |
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The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | NA |
Concrete batch plant | Security Paving | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | truck chute | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-10-22-4-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-22-4-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-10-22-4-3 CTM 521-June 2020 (Verified)