Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-11-08-48
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994579 DEA: 070W4004 EFIS: 0722000046 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-30.9/R36.3;R40.6/R43.6 |
| Award Date | 05/16/2023 |
| Closeout Date | Not set |
| Work Description | CONCRETE PAVEMENT SLABS REPLACEMENT & SLURRY SHOULDER. |
| Location Description | VENTURA COUNTY IN AND NEAR VENTURA FROM VENTURA RIVER BRIDGE TO 0.4 MILE SOUTH OF PADRE JUAN CANYON ROAD OVERCROSSING AND FROM 0.4 MILE NORTH OF PUNTA GORDA PEDESTRIAN UNDERCROSSING TO BATES ROAD UNDERCROSSING. |
| QA Service Level | 1 (Verified on 07/24/2023) |
Sample Information
| Sample Taken Date | 11/08/2023 | Sample Unique Key | 48 |
|---|---|---|---|
| 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 | 11/08/2023 |
| Sample type | Acceptance | A brief description of the sample | ISR-RSC Beams |
| The quantity of what the sample constitutes | 150 CY | 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 | 23-1956 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Short Load Concrete | 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 truck mixers | 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: 2023-11-08-48-1 CTM 524-March 2013 (Verified)