Sample Record

DIME Sample ID 2021-11-05-14

Project Information

Project IdentifiersProject ID: 214920
DEA: 073W8704
EFIS: 0717000118
DIST-CO-RTE-PM07-LA-1-46.9/50.4
Award Date06/09/2020
Closeout Date07/03/2023
Work DescriptionPERFORM SLURRY SEAL, REPLACE AC SURFACING AND INDIVIDUAL SLABS.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR MALIBU FROM MALIBU LAGOON BRIDGE TO SOLISTICE CANYON CREEK BRIDGE
QA Service Level1 (Verified on 04/07/2021)

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

Sample Information

Sample Taken Date11/05/2021 Sample Unique Key14
Date that the sample was received by the laboratory/organization performing the testing11/05/2021 Sample typeDepartment Acceptance
A brief description of the sampleTrial batch at contractor's yard The quantity of what the sample constitutes7.38 CY
From where was the sample collectedManufacturer First name of sampler or witnessed bySopheak
Last name of sampler or witnessed byChong Title of samplerTE
Telephone number of sampler12138170174 Laboratory sample identification21-2698
Linked DIME Sample ID The fabricator/manufacturer/facility nameDreambuilders
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier21-2698 Structure nameTrial Slab
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberCTS-65-EHI
The truck number from where the sample was collected15 The batch plant ticket number from where the sample was collected15
Concrete batch plantShort load concrete The fabricator/manufacturer designation for the sampleDreambuilders
A detailed description of where the material sample was collected500 Porter Way Placentia CA 92870 Where the material sample would have been placed if not sampledJob site
From Lot No.1 Bag Lot No.1

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2021-11-05-14-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteSopheak Chong, CT D07 - Materials Field Laboratory, Unit 195311/08/2021
No

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-11-05-14-1 CTM 524-March 2013