Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2023-09-24-13

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 Date09/24/2023 Sample Unique Key13
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 testing09/24/2023
Sample typeDepartment Acceptance A brief description of the sampleJPCP-RSC Beams
The quantity of what the sample constitutes130 CY From where was the sample collectedJob Site
First name of sampler or witnessed byMichelangelo Last name of sampler or witnessed bySese
Title of samplerTET Telephone number of sampler310-345-6204
Laboratory sample identification23-1481 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Rock Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberG3-22-PRS-299
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNA
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBatch Plant Loader Bucket 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
2023-09-24-13-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteMichelangelo Sese, CT D07 - Materials Field Laboratory, Unit 195310/04/2023Michelangelo Sese
Yes
10/04/2023NB VEN Rte. 101 Sta. 2061+73 to Sta. 2081+50

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-09-24-13-1 CTM 524-March 2013 (Verified)