Sample Record

DIME Sample ID 2021-12-22-12

Project Information

Project IdentifiersProject ID: 214524
DEA: 07304504
EFIS: 0714000067
DIST-CO-RTE-PM07-LA-57-R0.0/R4.5
Award Date06/11/2020
Closeout Date04/03/2025
Work DescriptionCONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK.
Location DescriptionLOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION
QA Service Level1 (Verified on 08/12/2020)

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

Sample Information

Sample Taken Date12/22/2021 Sample Unique Key12
Date that the sample was received by the laboratory/organization performing the testing12/23/2021 Sample typeDepartment Acceptance
A brief description of the sampleNB57 Austin Vault#57 The quantity of what the sample constitutes90 cy
From where was the sample collectedJob Site First name of sampler or witnessed bySopheak
Last name of sampler or witnessed byChong Title of samplerTE
Telephone number of sampler12138170174 Laboratory sample identification21-3009
Linked DIME Sample ID The fabricator/manufacturer/facility nameGriffith/Vanguard
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameNB57 Austin Vault57
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number57030SL
The truck number from where the sample was collected36 The batch plant ticket number from where the sample was collected8897
Concrete batch plantVanguard at 57 Freeway The fabricator/manufacturer designation for the sampleGriffith/Vanguard
A detailed description of where the material sample was collectedJobsite Where the material sample would have been placed if not sampledjobsite
From Lot No.NA Bag Lot No.NA

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2021-12-22-12-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersSopheak Chong, CT D07 - Materials Field Laboratory, Unit 195312/29/2021
No

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-12-22-12-1 CTM 521-June 2020