Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-06-14-70
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993664 DEA: 073311U4 EFIS: 0719000098 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-23,101-R3.3/R3.7,0.2/40.8 |
| Award Date | 08/31/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT GUARDRAILS AND CONCRETE BARRIER. |
| Location Description | VENTURA COUNTY IN THOUSAND OAKS, CAMARILLO, OXNARD AND VENTURA ON ROUTE 101 FROM THE LOS ANGELES /VENTURA COUNTY LINE TO OLD PACIFIC COAST HIGHWAY AND ON ROUTE 23 FROM ROUTE 23/101 SEPARATION TO HILLCREST DRIVE |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 06/14/2023 | Sample Unique Key | 70 |
|---|---|---|---|
| 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 | 06/16/2023 |
| Sample type | 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 | Ana | Last name of sampler or witnessed by | Trujillo |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 23-206 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Associated Ready Mix | Transportation Laboratory (TL) Number | 061423 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SL590330 |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 6844641 |
| Concrete batch plant | Associated Ready Mix Oxnard | 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-14-70-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-06-14-70-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-06-14-70-3 CTM 521-June 2020 (Verified)