Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-12-13-32
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 | 12/13/2021 | Sample Unique Key | 32 |
|---|---|---|---|
| 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 | 12/13/2021 |
| Sample type | Department Acceptance | A brief description of the sample | NB I-5 Mainline lane#1 sta.73+85 |
| The quantity of what the sample constitutes | 700 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 | 21-2953 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Security Paving batch plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 21-2953 | |
| Structure name | NB I5 mainline | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-19-PCC-001 |
|---|---|---|---|
| The truck number from where the sample was collected | 10 | The batch plant ticket number from where the sample was collected | 21044 |
| Concrete batch plant | Security Paving Company | The fabricator/manufacturer designation for the sample | SECURITY PAVING |
| A detailed description of where the material sample was collected | NB I-5 Mainline lane1 | 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 |
|---|---|---|---|---|---|---|---|---|---|
| 2021-12-13-32-1 | CTM 523-May 2020: Method of Test for Flexural Strength of Concrete | Sopheak Chong, CT D07 - Materials Field Laboratory, Unit 1953 | 01/10/2022 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-12-13-32-1 CTM 523-May 2020