Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-02-10-28
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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 | 02/10/2022 | Sample Unique Key | 28 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/11/2022 | Sample type | Department Acceptance |
| A brief description of the sample | PCC cylinder Bridge deck | The quantity of what the sample constitutes | 130 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Antonio |
| Last name of sampler or witnessed by | Picazo | Title of sampler | Assistant Structure Representative |
| Telephone number of sampler | Laboratory sample identification | 22-0034 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Security Paving | |
| Transportation Laboratory (TL) Number | 22021001 | Inspector Lot Number from the Transportation Laboratory (TL) Form | |
| Structure unique identifier | Structure name | Bridge Number 53-C2295 | |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | G3-17-STR-006F |
|---|---|---|---|
| The truck number from where the sample was collected | Load 8 | The batch plant ticket number from where the sample was collected | 8 |
| Concrete batch plant | Security Paving | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | |
| 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: 2022-02-10-28-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-02-10-28-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-02-10-28-3 CTM 521-June 2020 (Verified)