Sample Record

DIME Sample ID 2021-10-30-3

Project Information

Project IdentifiersProject ID: 214524
DEA: 07304504
EFIS: 0714000067
DIST-CO-RTE-PM07-LA-57-R0.0/R4.5
Award Date06/11/2020
Closeout Date04/03/2025
Work DescriptionCONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK.
Location DescriptionLOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION
QA Service Level1 (Verified on 08/12/2020)

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

Sample Information

Sample Taken Date10/30/2021 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing11/06/2021 Sample typeQuality Assurance
A brief description of the sample6x12 LCB cylinders The quantity of what the sample constitutes10 CY
From where was the sample collectedJob Site First name of sampler or witnessed byRosauro
Last name of sampler or witnessed byNogoy Title of samplerTE Civil
Telephone number of sampler2137939321 Laboratory sample identification21-2680
Linked DIME Sample ID The fabricator/manufacturer/facility nameVanguard
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameNB 57 outer shoulder
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number57030SL
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected3
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow. Where the material sample would have been placed if not sampledSta 139 plus 97
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2021-10-30-3-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersRosauro Nogoy, CT D07 - Materials Field Laboratory, Unit 195311/06/2021
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-10-30-3-1 CTM 521-June 2020