Sample Record
DIME Sample ID 2022-01-09-1
Sample is locked from editing. info
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 | 01/09/2022 | Sample Unique Key | 1 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/09/2022 | Sample type | Department Acceptance |
| A brief description of the sample | ISR-RSC Beams | The quantity of what the sample constitutes | 200 cy |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Paul |
| Last name of sampler or witnessed by | Pastora | Title of sampler | RMA QC |
| Telephone number of sampler | 424-343-9393 | Laboratory sample identification | 22-0036 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Short Load Concrete Inc | |
| Transportation Laboratory (TL) Number | NA | 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 | 15 | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | NA | The fabricator/manufacturer designation for the sample | NA |
| A detailed description of where the material sample was collected | Discharge from BACK OF concrete truck CHUTE into wheelbarrow. | Where the material sample would have been placed if not sampled | PAVEMENT SLAB |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-01-09-1-1 CTM 524-March 2013 (Verified)
