Sample Record

DIME Sample ID 2021-11-07-1

Project Information

Project IdentifiersProject ID: 215690
DEA: 074W9504
EFIS: 0720000200
DIST-CO-RTE-PM07-LA-91-R12.1/R20.7
Award Date06/02/2021
Closeout Date05/26/2022
Work DescriptionINDIVIDUAL SLAB REPLACEMENT.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH AND CERRITOS FROM ATLANTIC AVENUE UNDERCROSSING TO THE ORANGE COUNTY LINE
QA Service Level1 (Verified on 08/16/2021)

Owner Lab

  • CT D07 - Santa Fe Springs Field Laboratory

Sample Information

Sample Taken Date11/07/2021 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing11/07/2021 Sample typeDepartment Acceptance
A brief description of the samplepcc beams rsc The quantity of what the sample constitutes130 CY
From where was the sample collectedJob Site First name of sampler or witnessed byMichelangelo
Last name of sampler or witnessed bySese Title of samplerTET
Telephone number of sampler3103456204 Laboratory sample identification21-2712
Linked DIME Sample ID The fabricator/manufacturer/facility nameShort Load Concrete
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 collected3 The batch plant ticket number from where the sample was collectedNA
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischard fron concrete truck into wheelbarrow. Where the material sample would have been placed if not sampledIndividual Slab Replacement
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2021-11-07-1-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteMichelangelo Sese, CT D07 - Santa Fe Springs Field Laboratory11/10/2021
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-11-07-1-1 CTM 524-March 2013