Sample Record

DIME Sample ID 2021-10-24-1

Project Information

Project IdentifiersProject ID: 215689
DEA: 074W8604
EFIS: 0720000067
DIST-CO-RTE-PM07-LA-605-R10.2/R20.2
Award Date06/08/2021
Closeout Date03/01/2022
Work DescriptionINDIVIDUAL SLAB REPLACEMENT.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS AND BALDWIN PARK FROM TELEGRAPH ROAD UNDERCROSSING TO ROUTE 605/10 SEPARATION
QA Service Level1 (Verified on 08/17/2021)

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

Sample Information

Sample Taken Date10/24/2021 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing10/24/2021 Sample typeDepartment Acceptance
A brief description of the samplecasting concrete beams The quantity of what the sample constitutes250 CY
From where was the sample collectedJob Site First name of sampler or witnessed byNelson
Last name of sampler or witnessed byAlvarado Title of samplerTECivil
Telephone number of sampler818-262-8855 Laboratory sample identification21-2644
Linked DIME Sample ID The fabricator/manufacturer/facility nameCTS SHORT LOAD RAPID SET
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 numberCTS-65-EHI
The truck number from where the sample was collected9 The batch plant ticket number from where the sample was collected333624
Concrete batch plantRte 605 The fabricator/manufacturer designation for the sampleon site batch plant
A detailed description of where the material sample was collectedDischarge chute from back of truck 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
2021-10-24-1-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteNelson Alvarado, CT D07 - Materials Field Laboratory, Unit 195310/27/2021
No
ISR-RSC

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-10-24-1-1 CTM 524-March 2013