Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2025-10-20-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995448 DEA: 07316804 EFIS: 0715000220 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10S-28.3 |
| Award Date | 01/26/2024 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGE DECK. |
| Location Description | LOS ANGELES COUNTY IN EL MONTE AT RIO HONDO BUSWAY BRIDGE |
| QA Service Level | 1 (Verified on 01/22/2024) |
Sample Information
| Sample Taken Date | 10/20/2025 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 10/21/2025 |
| Sample type | Acceptance | A brief description of the sample | 3 4x8 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 | Scott | Last name of sampler or witnessed by | Bauer |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 25-1159 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | 07-316804 |
| 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 | 1610838 |
|---|---|---|---|
| The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 42722865 |
| Concrete batch plant | Cemex | 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: 2025-10-20-28-1 CTM 521-June 2020 (Verified)