DIME - Sample Record for DIME Sample ID 2022-01-08-4

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Sample Record

DIME Sample ID 2022-01-08-4

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Project Information

Project Identifiers	Project ID: 215690 DEA: 074W9504 EFIS: 0720000200
DIST-CO-RTE-PM	07-LA-91-R12.1/R20.7
Award Date	06/02/2021
Closeout Date	05/26/2022
Work Description	INDIVIDUAL SLAB REPLACEMENT.
Location Description	LOS ANGELES COUNTY IN LONG BEACH AND CERRITOS FROM ATLANTIC AVENUE UNDERCROSSING TO THE ORANGE COUNTY LINE
QA Service Level	1 (Verified on 08/16/2021)

Owner Lab

CT D07 - Materials Field Laboratory, Unit 1953

Sample Information

Sample Taken Date	01/08/2022	Sample Unique Key	4
Date that the sample was received by the laboratory/organization performing the testing	01/08/2022	Sample type	Quality Assurance
A brief description of the sample	ISR-RSC Beams	The quantity of what the sample constitutes	10 CY
From where was the sample collected	Job Site	First name of sampler or witnessed by	Rosauro
Last name of sampler or witnessed by	Nogoy	Title of sampler	TEC
Telephone number of sampler	2137939321	Laboratory sample identification	22-0033
Linked DIME Sample ID		The fabricator/manufacturer/facility name	SLC
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	CTS-65-EHI
The truck number from where the sample was collected	10	The batch plant ticket number from where the sample was collected	2
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	Chute into wheelbarrow	Where the material sample would have been placed if not sampled	Panel 2
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
2022-01-08-4-1	CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength Concrete	Rosauro Nogoy, CT D07 - Materials Field Laboratory, Unit 1953	01/11/2022		Yes	01/11/2022		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2022-01-08-4-1 CTM 524-March 2013 (Verified)