Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-11-19-33
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
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 | 11/19/2024 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 11/19/2024 |
| Sample type | Acceptance | A brief description of the sample | Route 405 NB |
| The quantity of what the sample constitutes | 200 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Caesar | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Transportation Engineer Civil | Telephone number of sampler | (818) 974-8391 |
| Laboratory sample identification | 24-3588 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Contractor | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Route 405 NB | 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 | 1 | The batch plant ticket number from where the sample was collected | Short Load Concrete |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Job site | 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: 2024-11-19-33-1 CTM 524-March 2013 (Verified)