Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2023-10-20-31

Project Information

Project IdentifiersProject ID: 215697
DEA: 07318204
EFIS: 0715000286
DIST-CO-RTE-PM07-LA-Route 1-4.0/4.2
Award DateNot set
Closeout DateNot set
Work DescriptionCM/GC Project - Work consists of constructing secant wall and slope restoration
Location Descriptionnear Point Mugu State Park 0.4 mile South of Sycamore Canyon Road.
QA Service Level1 (Verified on 08/26/2021)

Sample Information

Sample Taken Date10/20/2023 Sample Unique Key31
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 testing10/24/2023
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 byJessica Last name of sampler or witnessed byCisneros
Title of samplerAssistant Structure Representative Telephone number of sampler
Laboratory sample identification23-492 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAssociate Ready mixed Concrete Transportation Laboratory (TL) Number102023
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number557237SPC
The truck number from where the sample was collected4 The batch plant ticket number from where the sample was collected7092075
Concrete batch plantAssociated Ready Mix Concrete 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
2023-10-20-31-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195310/27/2023Robert Achuela

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2023-10-20-31-1 CTM 521-June 2020 (Verified)