Sample Record
Owner Lab
- Con-Fab California, LLC
DIME Sample ID 2023-06-30-84
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993815 DEA: 081C0814 EFIS: 0816000086 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R60.7/R74.3 |
| Award Date | 03/28/2022 |
| Closeout Date | Not set |
| Work Description | I-10 PAVEMENT REHABILITATION (SEGMENT 1) PROJECT |
| Location Description | Coachella |
| QA Service Level | 1 (Verified on 05/03/2022) |
Sample Information
| Sample Taken Date | 06/30/2023 | Sample Unique Key | 84 |
|---|---|---|---|
| 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 | 07/06/2023 |
| Sample type | Quality Control | A brief description of the sample | T-II/V Cement |
| The quantity of what the sample constitutes | 6.5 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jesus | Last name of sampler or witnessed by | Rodriguez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ConFab California, LLC Shafter | 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 | SCC_S8.5-0FG |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 3627 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Sampled 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 ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2023-06-30-84-3 | ASTM C1611-21: Standard Test Method for Slump Flow of Self-Consolidating Concrete | Jesus Rodriguez , Con-Fab California, LLC | 06/30/2023 | Benjamin Aragon | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-30-84-3 ASTM C1611-21