Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-10-20-33
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Project Information
| Project Identifiers | Project ID: 215697 DEA: 07318204 EFIS: 0715000286 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-Route 1-4.0/4.2 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CM/GC Project - Work consists of constructing secant wall and slope restoration |
| Location Description | near Point Mugu State Park 0.4 mile South of Sycamore Canyon Road. |
| QA Service Level | 1 (Verified on 08/26/2021) |
Sample Information
| Sample Taken Date | 10/20/2023 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 10/24/2023 |
| 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 | Jessica | Last name of sampler or witnessed by | Cisneros |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 23-492 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Associate Ready mixed Concrete | Transportation Laboratory (TL) Number | 102023 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Not Applicable |
|---|---|---|---|
| HMA Grading | Not Applicable | Lot number | |
| Sublot number | HMA Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||