Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-11-05-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994648 DEA: 070W3904 EFIS: 0722000045 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-10.7/26.7 |
| Award Date | 06/20/2023 |
| Closeout Date | Not set |
| Work Description | SLURRY SEAL. |
| Location Description | VENTURA COUNTY FROM CAMARILLO SPRINGS ROAD UNDERCROSSING IN CAMARILLO TO MAIN STREET UNDERCROSSING IN VENTURA |
| QA Service Level | 1 (Verified on 07/24/2023) |
Sample Information
| Sample Taken Date | 11/05/2023 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 11/05/2023 |
| Sample type | Acceptance | A brief description of the sample | ISR-RSC |
| The quantity of what the sample constitutes | 14 cu. yd. | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Philip | Last name of sampler or witnessed by | Maquiran |
| Title of sampler | MREA | Telephone number of sampler | (213) 358-1518 |
| Laboratory sample identification | 23-1931 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | SLC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | CTS-65-GBR |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | from volumetric concrete mixer truck | 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: 2023-11-05-1-1 CTM 524-March 2013 (Verified)