Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2025-05-04-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994396 DEA: 07330304 EFIS: 0716000213 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-22.0/30.8 |
| Award Date | 10/09/2023 |
| Closeout Date | 09/25/2025 |
| Work Description | CONSTRUCT CONCRETE BARRIER AND STRUCTURAL CONCRETE BARRIER SLAB. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.6 MILE EAST OF ROUTE 710/10 SEPARATION TO 0.3 MILE WEST OF ROUTE 10/605 SEPARATION |
| QA Service Level | 1 (Verified on 07/24/2023) |
Sample Information
| Sample Taken Date | 05/04/2025 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 05/04/2025 |
| Sample type | Acceptance | A brief description of the sample | 6X12 PCC cylinders |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dennis | Last name of sampler or witnessed by | Rodriguez |
| Title of sampler | RMA QC | Telephone number of sampler | |
| Laboratory sample identification | 25-106 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex Inglewood | Transportation Laboratory (TL) Number | 050425AT |
| 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 | 1621621 |
|---|---|---|---|
| The truck number from where the sample was collected | 2 | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | Cemex Inglewood | 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: 2025-05-04-14-1 CTM 521-June 2020 (Verified)