Sample Record

DIME Sample ID 2022-04-02-14

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)

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

Sample Information

Sample Taken Date04/02/2022 Sample Unique Key14
Date that the sample was received by the laboratory/organization performing the testing04/02/2022 Sample typeDepartment Acceptance
A brief description of the sample6"x12" LCBRS cylinder The quantity of what the sample constitutes500 cubic yards
From where was the sample collectedSource First name of sampler or witnessed byGeorge
Last name of sampler or witnessed byZacarias Title of samplerG3 Quality Technician
Telephone number of sampler Laboratory sample identification22-0628
Linked DIME Sample ID The fabricator/manufacturer/facility nameSecurity Paving batch plant
Transportation Laboratory (TL) Number22-0628 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberG3-22LRS-271R
The truck number from where the sample was collected1987 The batch plant ticket number from where the sample was collected235421
Concrete batch plantSecurity Paving Durbin The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow. Where the material sample would have been placed if not sampledNA
From Lot No. Bag Lot No.

Submitted Tests

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Test File Attachments