Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-06-27-5
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Project Information
| Project Identifiers | Project ID: 210543 DEA: 07276004 EFIS: 0712000100 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-14.1/21.1 |
| Award Date | 09/01/2015 |
| Closeout Date | 08/15/2018 |
| Work Description | BUILD TREATMENT BMP AND MVP. |
| Location Description | VENTURA COUNTY IN CAMARILLO AND OXNARD AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF CARMAN DRIVE OVERCROSSING TO ROSE AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 10/15/2015) |
Sample Information
| Sample Taken Date | 06/27/2016 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 06/30/2016 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Pantaleon | Last name of sampler or witnessed by | Rivera |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Associated | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | Unknown |
Material Information
| Material Type | Concrete | The concrete mix design number | 557237 |
|---|---|---|---|
| The truck number from where the sample was collected | NA | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | Site | Where the material sample would have been placed if not sampled | Footing Step 1 to 7 |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-06-27-5-1 ASTM C39-17a (Verified)