Sample Record

Owner Lab

  • Con-Fab California, LLC

DIME Sample ID 2023-09-20-133

Project Information

Project IdentifiersProject ID: 209698
DEA: 072332E4
EFIS: 0700000391
COOP: 0705187
DIST-CO-RTE-PM07-LA-I-5-45.4/54
Award Date07/01/2021
Closeout DateNot set
Work DescriptionAddition of 14 miles of HOV lanes in both directions would extend existing carpool lanes on the I- 5 in San Fernando Valley to Santa Clarita Valley
Location DescriptionThe I-5 North Capacity Enhancements Project focuses on improvements to the I-5 freeway from cities of Santa Clarita and Castaic, beginning at the SR-14 interchange to Parker Rd.
QA Service Level2 (Verified on 02/03/2021)

Sample Information

Sample Taken Date09/20/2023 Sample Unique Key133
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 testing09/21/2023
Sample typeQuality Control A brief description of the sampleT-II/V Cement
The quantity of what the sample constitutes11 From where was the sample collectedManufacturer
First name of sampler or witnessed byBenjamin Last name of sampler or witnessed byAragon
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConFab California, LLC Shafter Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSCC-S8.5-0FG
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected3757
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSampled from wheelbarrow collected from chute of ready mix truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-09-20-133-1ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of ConcreteBenjamin Aragon, Con-Fab California, LLC09/20/2023Benjamin Aragon
No
Info
2023-09-20-133-2ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteBenjamin Aragon, Con-Fab California, LLC09/20/2023Benjamin Aragon
No
Info
2023-09-20-133-3ASTM C1611-21: Standard Test Method for Slump Flow of Self-Consolidating ConcreteBenjamin Aragon, Con-Fab California, LLC09/20/2023Benjamin Aragon
No
Reported as 23.75 inches Info
2023-09-20-133-4CTM TEMP1-16: Test Method for Monitoring Precast Concrete Curing Temperature (Curing temperature)Benjamin Aragon, Con-Fab California, LLC09/20/2023Benjamin Aragon
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-09-20-133-1 ASTM C138-17a
DIME Test ID: 2023-09-20-133-2 ASTM C1064-17
DIME Test ID: 2023-09-20-133-3 ASTM C1611-21
DIME Test ID: 2023-09-20-133-4 CTM TEMP1-16