Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2022-03-10-47

Project Information

Project IdentifiersProject ID: 214819
DEA: 07288304
EFIS: 0700021024
DIST-CO-RTE-PM07-LA-60,60,164,210-Var
Award Date03/01/2021
Closeout Date10/02/2023
Work DescriptionSTORM WATER MITIGATION
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 06/30/2021)

Sample Information

Sample Taken Date03/10/2022 Sample Unique Key47
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 testing03/10/2022
Sample typeDepartment Acceptance A brief description of the sample6X12 cylinders
The quantity of what the sample constitutesna From where was the sample collectedJob Site
First name of sampler or witnessed byLR Last name of sampler or witnessed byCollier
Title of samplerTET Telephone number of sampler14242327257
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namena Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameWB 210 Loc 11

Material Information

Material TypeConcrete The concrete mix design numberLCBSC270N31
The truck number from where the sample was collected1507 The batch plant ticket number from where the sample was collectedna
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedna Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-10-47-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersLR Collier, CT D07 - Materials Field Laboratory, Unit 195303/10/2022LR Collier
Yes
05/05/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-03-10-47-1 CTM 521-June 2020 (Verified)