Sample Record
DIME Sample ID 2025-09-16-57
Project Information
| Project Identifiers | Project ID: 994966 DEA: 073255U4 EFIS: 0722000129 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-605-20.2/26 |
| Award Date | 04/12/2023 |
| Closeout Date | Not set |
| Work Description | INDIVIDUAL SLAB REPLACEMENT, COLD PLANE AC |
| Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND IRWINDALE FROM ROUTE 10/605 SEPARATION TO 0.2 MILE NORTH OF ROUTE 210/605 SEPARATION |
| QA Service Level | 1 (Verified on 07/13/2023) |
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
Sample Information
| Sample Taken Date | 09/16/2025 | Sample Unique Key | 57 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/13/2025 | Sample type | Acceptance |
| A brief description of the sample | 3 ISR-RSC Beams | 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 | 25-3003 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | SHORTLOAD CONCRETE | |
| 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 | CTS-65-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
| 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: 2025-09-16-57-1 CTM 524-March 2013 (Verified)
