Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-06-29-24
Project Information
Project Identifiers | Project ID: 993664 DEA: 073311U4 EFIS: 0719000098 |
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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 | 06/29/2023 | Sample Unique Key | 24 |
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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 | 07/05/2023 |
Sample type | Acceptance | A brief description of the sample | 4X8 PCC cylinders |
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 | 23-243 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Associated Ready Mix Concrete-Oxnard | Transportation Laboratory (TL) Number | 062923 |
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 |
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The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 6844985 |
Concrete batch plant | Associated Ready Mix Concrete 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-06-29-24-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-06-29-24-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-06-29-24-3 CTM 521-June 2020 (Verified)