Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-03-12-17

Project Information

Project IdentifiersProject ID: 214671
DEA: 07303904
EFIS: 0714000044
DIST-CO-RTE-PM07-LA-10-31.2/37.2
Award Date11/25/2020
Closeout Date10/11/2023
Work DescriptionLANE REPLACEMENT
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING
QA Service Level1 (Verified on 01/21/2021)

Sample Information

Sample Taken Date03/12/2022 Sample Unique Key17
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 testing03/12/2022
Sample typeDepartment Acceptance A brief description of the samplePCC cylinders
The quantity of what the sample constitutes150 Cy From where was the sample collectedJob Site
First name of sampler or witnessed byArnold Last name of sampler or witnessed byTruong
Title of samplerMREA Telephone number of sampler213-808-4582
Laboratory sample identification22-0445 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving batch plant Transportation Laboratory (TL) Number22-0445
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberG3-22-LRS-271
The truck number from where the sample was collected44 The batch plant ticket number from where the sample was collected44
Concrete batch plant44 The fabricator/manufacturer designation for the sample44
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledEB10 LN3 Vincent and Pacific
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-12-17-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersArnold Truong, CT D07 - Materials Field Laboratory, Unit 195303/19/2022Arnold Truong
Yes
03/21/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-03-12-17-1 CTM 521-June 2020 (Verified)