Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2025-01-14-39
Project Information
| Project Identifiers | Project ID: 1000208 DEA: 07346004 EFIS: 0718000070 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-11.0/23.5 |
| Award Date | 07/12/2024 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT MVPS, PAVE BEYOND THE GORE, INSTALL GATES & CABLE RAILING. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM NORTH OF VINELAND AVENUE TO NORTH OF WINNETKA AVENUE |
| QA Service Level | 1 (Verified on 04/24/2024) |
Sample Information
| Sample Taken Date | 01/14/2025 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 01/14/2025 |
| Sample type | Acceptance | A brief description of the sample | Near the NB Havenhurst off-ramp Location 34, 979+70 to 980+55 |
| The quantity of what the sample constitutes | 17 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 | 25-0172 | 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 | Near the NB Havenhurst off-ramp Location 34, 979+70 to 980+55 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | RRM17022 |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 1362475 |
| Concrete batch plant | National Ready Mixed Concrete Company | 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: 2025-01-14-39-1 CTM 521-June 2020 (Verified)
