Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-11-13-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-29.4/31.6 |
| Award Date | 11/29/2012 |
| Closeout Date | 07/31/2023 |
| Work Description | REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS. |
| Location Description | LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/08/2012) |
Sample Information
| Sample Taken Date | 11/13/2021 | Sample Unique Key | 11 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 11/13/2021 | Sample type | Department Acceptance |
| A brief description of the sample | Burbank blvd | The quantity of what the sample constitutes | 300 cy |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Sopheak |
| Last name of sampler or witnessed by | Chong | Title of sampler | TE |
| Telephone number of sampler | 12138170174 | Laboratory sample identification | 21-2795 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Security Paving | |
| Transportation Laboratory (TL) Number | 21-2795 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | 21-2795 | Structure name | Sopheak Chong |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | Security Paving |
|---|---|---|---|
| The truck number from where the sample was collected | 3 | The batch plant ticket number from where the sample was collected | 225645 |
| Concrete batch plant | Security Paving batch plant | The fabricator/manufacturer designation for the sample | Security Paving |
| A detailed description of where the material sample was collected | Burbank Blvd | Where the material sample would have been placed if not sampled | Jobsite |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| 2021-11-13-11-1 | CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete Cylinders | Sopheak Chong, CT D07 - Materials Field Laboratory, Unit 1953 | 11/20/2021 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-11-13-11-1 CTM 521-June 2012