Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2021-08-10-25

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date08/10/2021 Sample Unique Key25
Date that the sample was received by the laboratory/organization performing the testing08/11/2021 Sample typeQuality Assurance
A brief description of the sampleJPCP beams The quantity of what the sample constitutes10CY
From where was the sample collectedSource First name of sampler or witnessed byChad
Last name of sampler or witnessed byChotibhongs Title of samplerMREA
Telephone number of sampler(213)817-0387 Laboratory sample identification21-1993
Linked DIME Sample ID The fabricator/manufacturer/facility nameFlatiron Plant
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 numberJPCP-3215-06
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected23
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBobcat on site Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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