Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-11-28-21

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 Date11/28/2022 Sample Unique Key21
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 testing11/30/2022
Sample typeDepartment Acceptance A brief description of the sample4X8 PCC cylinders
The quantity of what the sample constitutes130 CY From where was the sample collectedJob Site
First name of sampler or witnessed byAna Last name of sampler or witnessed byTrujillo
Title of samplerAssistant Structure Representative Telephone number of sampler
Laboratory sample identification22-0360 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Transportation Laboratory (TL) NumberNA
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1626826
The truck number from where the sample was collected8 The batch plant ticket number from where the sample was collected41798234
Concrete batch plantCemex The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedtruck chute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-28-21-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195312/05/2022Robert Achuela
Yes
12/05/2022
2022-11-28-21-2CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195312/12/2022Robert Achuela
Yes
12/12/2022
2022-11-28-21-3CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195312/26/2022Robert Achuela
Yes
01/03/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-11-28-21-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-28-21-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-28-21-3 CTM 521-June 2020 (Verified)