Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2025-01-31-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995085 DEA: 07322904 EFIS: 0716000059 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-27-0.0/18.6 |
| Award Date | 11/06/2023 |
| Closeout Date | Not set |
| Work Description | REMOVE EXISTING AC PAVEMENT & HMA OVERLAY. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM ROUTE 1 TO DEVONSHIRE STREET |
| QA Service Level | 1 (Verified on 09/11/2023) |
Sample Information
| Sample Taken Date | 01/31/2025 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 02/01/2025 |
| Sample type | Acceptance | A brief description of the sample | 6 x 12 LCB Cylinders |
| The quantity of what the sample constitutes | 10 cubic yards | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Chad | Last name of sampler or witnessed by | Chotibhongs |
| Title of sampler | MREA | Telephone number of sampler | 2134076963 |
| Laboratory sample identification | 25-0360 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | National Ready Mix Concrete Company | Transportation Laboratory (TL) Number | |
| 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 | S30C396LOA |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 24836 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow. | 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: 2025-01-31-21-1 CTM 521-June 2020 (Verified)