Sample Record
DIME Sample ID 2021-12-07-7
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Project Information
| Project Identifiers | Project ID: 215221 DEA: 07332604 EFIS: 0716000287 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-R12.4/14.9 |
| Award Date | 12/16/2020 |
| Closeout Date | 11/25/2024 |
| Work Description | REMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING. |
| Location Description | THE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION |
| QA Service Level | 1 (Verified on 03/19/2021) |
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
Sample Information
| Sample Taken Date | 12/07/2021 | Sample Unique Key | 7 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 12/07/2021 | Sample type | Department Acceptance |
| A brief description of the sample | Concrete Testing | The quantity of what the sample constitutes | 200 cu. yd. |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Philip |
| Last name of sampler or witnessed by | Maquiran | Title of sampler | MREA |
| Telephone number of sampler | 12133581518 | Laboratory sample identification | 21-2929 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Chumo Construction Inc. | |
| 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 | SC550M37 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 6658070 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Transit Mixer | Where the material sample would have been placed if not sampled | |
| 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. | |||