Sample Record

Owner Lab

  • CT D11 - South County/Trade Corridor FO

DIME Sample ID 2023-04-06-62

Project Information

Project IdentifiersProject ID: 994102
DEA: 11430644
EFIS: 1119000045
DIST-CO-RTE-PM11-SD-905-12.0
Award Date10/28/2022
Closeout DateNot set
Work DescriptionCONSTRUCT WEIGH-IN-MOTION FACILITY, CRCP, HMA, AND RETAINING WALL.
Location DescriptionSAN DIEGO COUNTY NEAR SAN DIEGO AT OTAY MESA COMMERCIAL VEHICLE ENFORCEMENT FACILITY
QA Service Level1 (Verified on 08/24/2022)

Sample Information

Sample Taken Date04/06/2023 Sample Unique Key62
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 testing04/10/2023
Sample typeQuality Assurance A brief description of the sampleStructural Concrete
The quantity of what the sample constitutes40 CY From where was the sample collectedJob Site
First name of sampler or witnessed byAston Last name of sampler or witnessed byJames
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertson's Otay Mesa Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRetaining Wall

Material Information

Material TypeConcrete The concrete mix design numberRRM20038
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected230387
Concrete batch plantOtay Mesa Plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampledRetaining Wall Footing
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-04-06-62-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDaniela Gomez, CT D11 - South County/Trade Corridor FO04/13/2023Daniela Gomez
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-04-06-62-1 CTM 521-June 2020