Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-11-14-40
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000286 DEA: 070W7004 EFIS: 0723000032 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-44.7/48.64 |
| Award Date | 06/19/2024 |
| Closeout Date | Not set |
| Work Description | INDIVIDUAL SLAB REPLACEMENT (RSC), & GRIND EXIST CONC PAVEMENT. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM NORDHOFF STREET UNDERCROSSING TO ROUTE 5/405 SEPARATION |
| QA Service Level | 1 (Verified on 09/16/2024) |
Sample Information
| Sample Taken Date | 11/14/2024 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 11/14/2024 |
| Sample type | Acceptance | A brief description of the sample | 3- 6X6X21 Rapid Set Concrete Beams |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Robert | Last name of sampler or witnessed by | Achuela |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | 24-3499 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | CTS SHORT LOAD RAPID SET | Transportation Laboratory (TL) Number | NA |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | CTS-65-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | 18 | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | CTS | 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. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-11-14-40-1 CTM 524-March 2013 (Verified)