Sample Record

DIME Sample ID 2025-01-24-38

Project Information

Project IdentifiersProject ID: 215220
DEA: 07210624
EFIS: 0719000068
DIST-CO-RTE-PM07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Award Date02/05/2021
Closeout DateNot set
Work DescriptionPLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location DescriptionIN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
QA Service Level1 (Verified on 03/24/2021)

Owner Lab

  • Alta Vista Solutions - Whittier

Sample Information

Sample Taken Date01/24/2025 Sample Unique Key38
Date that the sample was received by the laboratory/organization performing the testing01/24/2025 Sample typeQuality Assurance
A brief description of the sample3 Concrete Beams JPCP The quantity of what the sample constitutes10 CY
From where was the sample collectedJob Site First name of sampler or witnessed byAleksey
Last name of sampler or witnessed bySouglobov Title of samplerMaterials Tester
Telephone number of sampler7075835090 Laboratory sample identification25-0336
Linked DIME Sample ID The fabricator/manufacturer/facility nameN/A
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberRRM24015
The truck number from where the sample was collectedTruck 5 The batch plant ticket number from where the sample was collectedLoad 2
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedJobsite Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2025-01-24-38-1CTM 523-May 2020: Method of Test for Flexural Strength of ConcreteAleksey Souglobov, Alta Vista Solutions - Whittier02/21/202503/05/2025
No

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Test File Attachments


DIME Test ID: 2025-01-24-38-1 CTM 523-May 2020