Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-10-28-38
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214524 DEA: 07304504 EFIS: 0714000067 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-R0.0/R4.5 |
| Award Date | 06/11/2020 |
| Closeout Date | 04/03/2025 |
| Work Description | CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK. |
| Location Description | LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION |
| QA Service Level | 1 (Verified on 08/12/2020) |
Sample Information
| Sample Taken Date | 10/28/2021 | Sample Unique Key | 38 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 11/01/2021 |
| Sample type | Department Acceptance | A brief description of the sample | PCC cylinders |
| The quantity of what the sample constitutes | NK | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Omid | Last name of sampler or witnessed by | Khazari |
| Title of sampler | Assistant SR | Telephone number of sampler | |
| Laboratory sample identification | 21-0396 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons Ready Mix | Transportation Laboratory (TL) Number | 21102801 |
| 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 | SC675B38 |
|---|---|---|---|
| The truck number from where the sample was collected | 6 | The batch plant ticket number from where the sample was collected | 855404 |
| Concrete batch plant | Robertsons Ready Mix | The fabricator/manufacturer designation for the sample | Robertsons Ready Mix |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | Footing |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||