Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-04-24-12

Project Information

Project IdentifiersProject ID: 214524
DEA: 07304504
EFIS: 0714000067
DIST-CO-RTE-PM07-LA-57-R0.0/R4.5
Award Date06/11/2020
Closeout Date04/03/2025
Work DescriptionCONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK.
Location DescriptionLOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION
QA Service Level1 (Verified on 08/12/2020)

Sample Information

Sample Taken Date04/24/2022 Sample Unique Key12
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 testing04/24/2022
Sample typeDepartment Acceptance A brief description of the samplepcc beams rsc
The quantity of what the sample constitutes130 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 sampler2138084582
Laboratory sample identification22-0921 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVanguard Batch Plant at CA-57 Transportation Laboratory (TL) Number22-0921
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 number690HE4X12
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collected3
Concrete batch plantVanguard at 57 Freeway The fabricator/manufacturer designation for the sample650 psi at 10-day
A detailed description of where the material sample was collectedSkiploader Where the material sample would have been placed if not sampledNB 57 mainline
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2022-04-24-12-1CTM 524-March 2013: Method of Test for Flexural Strength Of Rapid Strength ConcreteArnold Truong, CT D07 - Materials Field Laboratory, Unit 195305/04/202205/04/2022
No
min. 650 psi at 10-day

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-04-24-12-1 CTM 524-March 2013