Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-11-05-20
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
| Award Date | 05/27/2016 |
| Closeout Date | 08/01/2023 |
| Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
| QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
| Sample Taken Date | 11/05/2021 | Sample Unique Key | 20 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 11/06/2021 | Sample type | Quality Assurance |
| A brief description of the sample | 6x12 LCB cylinders | The quantity of what the sample constitutes | 10 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Rosauro |
| Last name of sampler or witnessed by | Nogoy | Title of sampler | TE Civil |
| Telephone number of sampler | 2137939321 | Laboratory sample identification | 21-2719 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Security Paving | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | G317LCB004 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | Security Paving | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Discharge from concrete truck | Where the material sample would have been placed if not sampled | NB 5 HOV Lane Sta 21 plus 30 |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2021-11-05-20-1 | CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders | Rosauro Nogoy, CT D07 - Materials Field Laboratory, Unit 1953 | 11/12/2021 | No | |||||
| 2021-11-05-20-2 | CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete Cylinders | Rosauro Nogoy, CT D07 - Materials Field Laboratory, Unit 1953 | 11/12/2021 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-11-05-20-1 CTM 521-June 2012
DIME Test ID: 2021-11-05-20-2 CTM 521-June 2020