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Sample Record for 2024-11-08-58

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 993387 DEA: 07323404 EFIS: 0716000064 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-R59.5/R67.9
Work Description: PLACE CULVERT, REPLACE DRAINAGE SYSTEM, RECONST ROADWAY & EMBANKMENT.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM LAKE HUGHES ROAD UNDERCROSSING TO 1.9 MILES NORTH OF TEMPLIN HIGHWAY UNDERCROSSING
Contractor Name: SECURITY PAVING COMPANY INC
Contractor Address: 13170 TELEFAIR AVE, SYLMAR, CA 91342
Resident Engineer: Oscar Osorio Structure Rep.: Chanh Tong

Sample Information

DIME Sample ID: 2024-11-08-58
TL Number from the TL Form: 24110801
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Acceptance
Type of Material: Concrete
Sample Taken Date: 11/08/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/13/2024
The quantity of what the sample constitutes: 130 CY
A brief description of the sample: 4X8 PCC cylinders
From where was the sample collected: Job Site
Laboratory sample identification: 24-397
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: National Ready Mix Concrete Company

Material Information

The concrete mix design number: S72C446T10
The truck number from where the sample was collected: LOAD 2
The batch plant ticket number from where the sample was collected: 031341
Concrete batch plant: National Ready Mix Concrete Company
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: truck chute
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-11-08-58-1
Test Method: CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
Data has not been verified.