Sample Record
DIME Sample ID 2022-04-13-35
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Project Information
| Project Identifiers | Project ID: 214451 DEA: 07303704 EFIS: 0714000035 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-8.0/27.3 |
| Award Date | 12/19/2019 |
| Closeout Date | 05/07/2024 |
| Work Description | REPLACE CONCRETE BARRIERS. |
| Location Description | THE CITY AND COUNTY OF LOS ANGELES FROM PILGRIMAGE OVERCROSSING TO VALLEY CIRCLE BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 08/12/2020) |
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
Sample Information
| Sample Taken Date | 04/13/2022 | Sample Unique Key | 35 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/14/2022 | Sample type | Department Acceptance |
| A brief description of the sample | 6x12 LCB cylinders | The quantity of what the sample constitutes | 10 yd3 |
| 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 | 22-0792 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | National Ready Mix Concrete Company | |
| 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 | S29000 |
|---|---|---|---|
| The truck number from where the sample was collected | 3 | The batch plant ticket number from where the sample was collected | 480200 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Chute discharge into wheel barrow | Where the material sample would have been placed if not sampled | |
| 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 |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||